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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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