Clark, Ryan Stewart

Clark, Ryan Stewart is an sole proprietor health care provider with primary practice located at 1380 E Stroop Rd , Kettering OH 45429-4926. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Clark, Ryan Stewart can be contacted via phone (937) 293-3486.

Contact Information

Primary practice address
1380 E Stroop Rd Kettering OH 45429-4926
Phone: (937) 293-3486
Fax: (937) 293-3605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34010728 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 58.003689 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34010728 Ohio

Profile Details

NPI number 1396049011
LBN Legal business name Clark, Ryan Stewart
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2011
Last updated Jan 28th, 2021 - about 5 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 1396049011 NPPES
Ohio MEDICAID 0100097

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