Ryan, Timothy Peter
Ryan, Timothy Peter is an individual health care provider with primary practice located at 2500 N State St Department Of Medicine, Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ryan, Timothy Peter can be contacted via phone (601) 984-5601.Contact Information
Primary practice address
2500 N State St Department Of Medicine
Jackson MS 39216
Phone: (601) 984-5601
Fax: (601) 984-6601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 949-L | Mississippi |
Profile Details
| NPI number | 1063896868 |
|---|---|
| LBN Legal business name | Ryan, Timothy Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2015 |
| Last updated | Jul 20th, 2015 - about 11 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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