Housner, Ryan Joseph

Housner, Ryan Joseph is an individual health care provider with primary practice located at 890 Garfield Ave Suite 101, Libertyville IL 60048-4723. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Housner, Ryan Joseph can be contacted via phone (847) 990-5636.

Contact Information

Primary practice address
890 Garfield Ave Suite 101 Libertyville IL 60048-4723
Phone: (847) 990-5636
Fax: (847) 676-1549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2680-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10000873A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002765 Illinois

Profile Details

NPI number 1205942539
LBN Legal business name Housner, Ryan Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 17th, 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 1205942539 NPPES
Wisconsin MEDICAID 1205942539

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