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
Phone: (208) 265-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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