Provider Demographics
NPI:1225579048
Name:RINGEL, ANALESE MARIE
Entity Type:Individual
Prefix:
First Name:ANALESE
Middle Name:MARIE
Last Name:RINGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 MOROCCO RD
Mailing Address - Street 2:
Mailing Address - City:IDA
Mailing Address - State:MI
Mailing Address - Zip Code:48140-9531
Mailing Address - Country:US
Mailing Address - Phone:567-454-9012
Mailing Address - Fax:
Practice Address - Street 1:2000 MOROCCO RD
Practice Address - Street 2:
Practice Address - City:IDA
Practice Address - State:MI
Practice Address - Zip Code:48140-9531
Practice Address - Country:US
Practice Address - Phone:567-454-9012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician