Mcconnell, Ryan P

Mcconnell, Ryan P is an individual health care provider with primary practice located at 601 Bridge St , East Jordan MI 49727-9383. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcconnell, Ryan P can be contacted via phone (231) 536-2206.

Contact Information

Primary practice address
601 Bridge St East Jordan MI 49727-9383
Phone: (231) 536-2206
Fax: (231) 536-9864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013791 Michigan

Profile Details

NPI number 1285625301
LBN Legal business name Mcconnell, Ryan P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 21st, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285625301 NPPES
Michigan MEDICAID 4765816
Michigan Other P00251496

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