Mccormick, Ryan Patrick

Mccormick, Ryan Patrick is an individual health care provider with primary practice located at 1945 Hiland Ave , Burley ID 83318-2714. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mccormick, Ryan Patrick can be contacted via phone (208) 647-0024.

Contact Information

Primary practice address
1945 Hiland Ave Burley ID 83318-2714
Phone: (208) 647-0024
Fax: (208) 647-0239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1204093 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7649 Idaho

Profile Details

NPI number 1285955583
LBN Legal business name Mccormick, Ryan Patrick
Credentials P.T., D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Sep 15th, 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 1285955583 NPPES
Texas MEDICAID 165348701
Texas MEDICAID PT25574

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