Macdonough, Ryan
Macdonough, Ryan is an individual health care provider with primary practice located at 281 Main St , East Hartford CT 06118-1823. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Macdonough, Ryan can be contacted via phone (860) 291-1309.Contact Information
Primary practice address
281 Main St
East Hartford CT 06118-1823
Phone: (860) 291-1309
Fax: (860) 291-1396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9212 | Connecticut |
Profile Details
| NPI number | 1639546005 |
|---|---|
| LBN Legal business name | Macdonough, Ryan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2015 |
| Last updated | Sep 1st, 2015 - about 11 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 | 1639546005 | NPPES |
| Connecticut | MEDICAID | 004050993 |
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