Luethke, Ronald William

Luethke, Ronald William is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 203 , Bridgeport WV 26330-9009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Luethke, Ronald William can be contacted via phone (681) 342-3190.

Contact Information

Primary practice address
527 Medical Park Dr Ste 203 Bridgeport WV 26330-9009
Phone: (681) 342-3190
Fax: (681) 342-3195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X D36862 Maryland
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X D36862 Maryland
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 25755 West Virginia

Profile Details

NPI number 1376518704
LBN Legal business name Luethke, Ronald William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 5th, 2022 - about 4 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 1376518704 NPPES
Maryland MEDICAID 531561100

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