Leisy, Ryan

Leisy, Ryan is an individual health care provider with primary practice located at 30544 Highway 200 Ste 330 , Ponderay ID 83852-5005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Leisy, Ryan can be contacted via phone (208) 265-1900.

Contact Information

Primary practice address
30544 Highway 200 Ste 330 Ponderay ID 83852-5005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH34717 Washington
Chiropractic Providers / Chiropractor 111N00000X CHIA-1250 Idaho

Profile Details

NPI number 1982741195
LBN Legal business name Leisy, Ryan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 29th, 2018 - about 8 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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