Ambrose, Ryan David
Ambrose, Ryan David is an sole proprietor health care provider with primary practice located at 10750 W Mcdowell Rd Bldg A100, Avondale AZ 85392-5960. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ambrose, Ryan David can be contacted via phone (623) 877-3007.Contact Information
Primary practice address
10750 W Mcdowell Rd Bldg A100
Avondale AZ 85392-5960
Phone: (623) 877-3007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2112 | Arizona |
Profile Details
| NPI number | 1558711507 |
|---|---|
| LBN Legal business name | Ambrose, Ryan David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2016 |
| Last updated | Jun 26th, 2024 - about 2 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 | 1558711507 | NPPES |
| Arizona | Other | 2112 | ARIZONA OPTOMETRIC LICENSING NUMBER |
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