Ryan, Jacquelyn Ann

Ryan, Jacquelyn Ann is an individual health care provider with primary practice located at 4815 N Assembly St , Spokane WA 99205-6185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as her primary health care specialty. Ryan, Jacquelyn Ann can be contacted via phone (509) 434-7602.

Contact Information

Primary practice address
4815 N Assembly St Spokane WA 99205-6185
Phone: (509) 434-7602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD40351 Washington

Profile Details

NPI number 1093744468
LBN Legal business name Ryan, Jacquelyn Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 24th, 2007 - about 18 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 1093744468 NPPES
Oregon MEDICAID 000334
Oregon Other 0151249
Oregon MEDICAID 8284515
Oregon MEDICAID 352261

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