Ryan, John Edward
Ryan, John Edward is an individual health care provider with primary practice located at 1500 E 2Nd St Suite 206, Reno NV 89502-1181. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ryan, John Edward can be contacted via phone (775) 789-7000.Contact Information
Primary practice address
1500 E 2Nd St Suite 206
Reno NV 89502-1181
Phone: (775) 789-7000
Fax: (775) 789-7040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5019 | Nevada |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 5019 | Nevada |
Profile Details
| NPI number | 1639167695 |
|---|---|
| LBN Legal business name | Ryan, John Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639167695 | NPPES |
| Other | CC5339 | BCBS | |
| MEDICAID | XPY039070 | BCBS |
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