Ryckeghem, Jason Robert

Ryckeghem, Jason Robert is an individual health care provider with primary practice located at 2300 53Rd Ave Suite 100, Bettendorf IA 52722-7564. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ryckeghem, Jason Robert can be contacted via phone (563) 322-0971.

Contact Information

Primary practice address
2300 53Rd Ave Suite 100 Bettendorf IA 52722-7564
Phone: (563) 322-0971
Fax: (563) 324-0615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004669 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 074029 Iowa

Profile Details

NPI number 1588090476
LBN Legal business name Ryckeghem, Jason Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2013
Last updated Jul 16th, 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.

Request for update

Popular Providers