Wynn, Ralph

Wynn, Ralph is an individual health care provider with primary practice located at 1540 Maple Rd , Williamsville NY 14221-3647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Wynn, Ralph can be contacted via phone (716) 878-7662.

Contact Information

Primary practice address
1540 Maple Rd Williamsville NY 14221-3647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 134158 New York

Profile Details

NPI number 1639148570
LBN Legal business name Wynn, Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148570 NPPES
Other 000507560001 BC/BS
MEDICAID 00639170 BC/BS
Other 00010191701 BC/BS
Other 040426000743 BC/BS
Other 3605818 BC/BS

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