Ryder, John Gage

Ryder, John Gage is an individual health care provider with primary practice located at 1605 Grand Central Ave , Vienna WV 26105-1081. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Ryder, John Gage can be contacted via phone (304) 295-7290.

Contact Information

Primary practice address
1605 Grand Central Ave Vienna WV 26105-1081
Phone: (304) 295-7290
Fax: (304) 295-5922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000020739 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT004414 West Virginia

Profile Details

NPI number 1306364617
LBN Legal business name Ryder, John Gage
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2017
Last updated Nov 5th, 2022 - about 4 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 1306364617 NPPES
West Virginia MEDICAID 1356766059

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