Creighton, Rusty Ryan

Creighton, Rusty Ryan is an individual health care provider with primary practice located at Taylor At Marion Streets Palmetto Health Baptist, Columbia SC 29201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Creighton, Rusty Ryan can be contacted via phone (803) 296-2548.

Contact Information

Primary practice address
Taylor At Marion Streets Palmetto Health Baptist Columbia SC 29201
Phone: (803) 296-2548
Fax: (803) 296-2548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2625 South Carolina

Profile Details

NPI number 1396712402
LBN Legal business name Creighton, Rusty Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 10th, 2022 - about 3 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 1396712402 NPPES
South Carolina MEDICAID AN1411

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