Ellwein, Ryan

Ellwein, Ryan is an sole proprietor health care provider with primary practice located at 3501 W 41St St Suite 110B, Sioux Falls SD 57106-0709. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ellwein, Ryan can be contacted via phone (605) 271-9060.

Contact Information

Primary practice address
3501 W 41St St Suite 110B Sioux Falls SD 57106-0709
Fax: (605) 271-9062
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 595 South Dakota

Profile Details

NPI number 1801981030
LBN Legal business name Ellwein, Ryan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Mar 10th, 2008 - about 18 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 1801981030 NPPES
South Dakota MEDICAID 9203364

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