Fairchild, Ryan

Fairchild, Ryan is an individual health care provider with primary practice located at 900 Main St Ste 450, Peoria IL 61602-1005. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fairchild, Ryan can be contacted via phone (309) 672-4568.

Contact Information

Primary practice address
900 Main St Ste 450 Peoria IL 61602-1005
Phone: (309) 672-4568
Fax: (309) 672-4569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-012128 Illinois

Profile Details

NPI number 1073632154
LBN Legal business name Fairchild, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Mar 25th, 2010 - about 16 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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