Ryan, Thomas P

Ryan, Thomas P is an individual health care provider with primary practice located at 700 W Ironwood Dr Ste 378 , Coeur D Alene ID 83814-4401. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Ryan, Thomas P can be contacted via phone (208) 625-3555.

Contact Information

Primary practice address
700 W Ironwood Dr Ste 378 Coeur D Alene ID 83814-4401
Phone: (208) 625-3555
Fax: (208) 625-1494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 96119 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP69133 Idaho

Profile Details

NPI number 1760081962
LBN Legal business name Ryan, Thomas P
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2020
Last updated Apr 26th, 2024 - about 2 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 1760081962 NPPES
Tennessee Other 7161988 DOB

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