Bortolon, Ryan J

Bortolon, Ryan J is an individual health care provider with primary practice located at 2025 E River Parkway Shriners Hospitals For Children Twin Cities, Minneapolis MN 55414-3604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bortolon, Ryan J can be contacted via phone (612) 596-6187.

Contact Information

Primary practice address
2025 E River Parkway Shriners Hospitals For Children Twin Cities Minneapolis MN 55414-3604
Phone: (612) 596-6187
Fax: (612) 339-7634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 46172 Minnesota

Profile Details

NPI number 1831178623
LBN Legal business name Bortolon, Ryan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Mar 29th, 2011 - about 15 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 1831178623 NPPES
Minnesota MEDICAID 380440200

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