Vanryzin, Judy M
Vanryzin, Judy M is an individual health care provider with primary practice located at 410 S Walnut St , Appleton WI 54911-5920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vanryzin, Judy M can be contacted via phone (920) 832-4741.Contact Information
Primary practice address
410 S Walnut St
Appleton WI 54911-5920
Phone: (920) 832-4741
Fax: (920) 832-2185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2487-123 | Wisconsin |
Profile Details
| NPI number | 1659546299 |
|---|---|
| LBN Legal business name | Vanryzin, Judy M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Apr 24th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659546299 | NPPES |
| Wisconsin | MEDICAID | 39279800 |
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