Russo, Ryan

Russo, Ryan is an sole proprietor health care provider with primary practice located at 2376 Soto St , San Diego CA 92107-1410. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as his primary health care specialty. Russo, Ryan can be contacted via phone (414) 803-6018.

Contact Information

Primary practice address
2376 Soto St San Diego CA 92107-1410
Phone: (414) 803-6018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 4605 California

Profile Details

NPI number 1295336956
LBN Legal business name Russo, Ryan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2020
Last updated Nov 7th, 2020 - about 6 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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