Ryder, Jamie A

Ryder, Jamie A is an individual health care provider with primary practice located at 810 Harmony St Suite 302, Council Bluffs IA 51503. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryder, Jamie A can be contacted via phone (712) 328-2609.

Contact Information

Primary practice address
810 Harmony St Suite 302 Council Bluffs IA 51503
Phone: (712) 328-2609
Fax: (712) 328-2609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001082 Iowa

Profile Details

NPI number 1346330206
LBN Legal business name Ryder, Jamie A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 12th, 2011 - about 15 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 1346330206 NPPES
Kansas MEDICAID 200346670A

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