Ryan, Jesse Thomas

Ryan, Jesse Thomas is an individual health care provider with primary practice located at 5100 W Taft Rd Ste 3E , Liverpool NY 13088-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ryan, Jesse Thomas can be contacted via phone (315) 452-2350.

Contact Information

Primary practice address
5100 W Taft Rd Ste 3E Liverpool NY 13088-3809
Phone: (315) 452-2350
Fax: (315) 452-2355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101240508 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 12940 North Dakota
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301104789 Michigan
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 279632-1 New York

Profile Details

NPI number 1285792143
LBN Legal business name Ryan, Jesse Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Mar 17th, 2018 - about 7 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 1285792143 NPPES
North Dakota MEDICAID 18856

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