Ryan, Marsha G
Ryan, Marsha G is an individual health care provider with primary practice located at 1237 E Main St Ste C1, Carbondale IL 62901-3148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ryan, Marsha G can be contacted via phone (618) 457-2281.Contact Information
Primary practice address
1237 E Main St Ste C1
Carbondale IL 62901-3148
Phone: (618) 457-2281
Fax: (618) 529-0573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036061951 | Illinois |
Profile Details
| NPI number | 1548257322 |
|---|---|
| LBN Legal business name | Ryan, Marsha G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Dec 30th, 2014 - about 12 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 | 1548257322 | NPPES |
| Illinois | MEDICAID | 036061951 |
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