Smith, Ryan Gregory

Smith, Ryan Gregory is an sole proprietor health care provider with primary practice located at 555 N 13Th Ave , Upland CA 91786-4904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Smith, Ryan Gregory can be contacted via phone (909) 277-2420.

Contact Information

Primary practice address
555 N 13Th Ave Upland CA 91786-4904
Phone: (909) 277-2420
Fax: (909) 206-1097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C1-0025611 Delaware
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A144479 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1164809851
LBN Legal business name Smith, Ryan Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2015
Last updated Jul 24th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164809851 NPPES
Delaware Other C1-0025611 MD LICENSE
Delaware Other 1164809851 MD LICENSE

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