Deweese, Ryan I

Deweese, Ryan I is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Deweese, Ryan I can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 838-4698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01065233A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01065233A Indiana

Profile Details

NPI number 1164692216
LBN Legal business name Deweese, Ryan I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Jan 25th, 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 1164692216 NPPES
Indiana Other 000000576756 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200904140 ANTHEM PROVIDER NUMBER

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