Fisicaro, Ryan Anthony
Fisicaro, Ryan Anthony is an sole proprietor health care provider with primary practice located at 1301 Punchbowl St , Honolulu HI 96813-2499. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fisicaro, Ryan Anthony can be contacted via phone (808) 691-1000.Contact Information
Primary practice address
1301 Punchbowl St
Honolulu HI 96813-2499
Phone: (808) 691-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT211183 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD24354 | Hawaii |
Profile Details
| NPI number | 1639529910 |
|---|---|
| LBN Legal business name | Fisicaro, Ryan Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2016 |
| Last updated | Jun 17th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639529910 | NPPES |
| Pennsylvania | Other | MT211183 | MEDICAL TRAINING LICENSE NUMBER |
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