Smith, Ryan Alexander
Smith, Ryan Alexander is an sole proprietor health care provider with primary practice located at 3975 Old Redwood Hwy Ste 152 , Santa Rosa CA 95403-1719. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Smith, Ryan Alexander can be contacted via phone (310) 478-3711.Contact Information
Primary practice address
3975 Old Redwood Hwy Ste 152
Santa Rosa CA 95403-1719
Phone: (310) 478-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A165869 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | R76953 | Arizona |
Profile Details
| NPI number | 1104317262 |
|---|---|
| LBN Legal business name | Smith, Ryan Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2018 |
| Last updated | Mar 31st, 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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