Ryan, Thomas E
Ryan, Thomas E is an individual health care provider with primary practice located at 11125 Dunn Rd Suite 100, Saint Louis MO 63136-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ryan, Thomas E can be contacted via phone (314) 355-5597.Contact Information
Primary practice address
11125 Dunn Rd Suite 100
Saint Louis MO 63136-6132
Phone: (314) 355-5597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | R1A86 | Missouri |
Profile Details
| NPI number | 1518993351 |
|---|---|
| LBN Legal business name | Ryan, Thomas E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| 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 | 1518993351 | NPPES |
| Missouri | Other | 3600007 | UNITEDHEALTHCARE |
| Missouri | Other | 17379 | UNITEDHEALTHCARE |
| Missouri | MEDICAID | 201712403 | UNITEDHEALTHCARE |
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