Supon, Ryan

Supon, Ryan is an individual health care provider with primary practice located at 2824 North 6Th Ave , Omaha NE 68104-3928. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Supon, Ryan can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
2824 North 6Th Ave Omaha NE 68104-3928
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 370 Nebraska

Profile Details

NPI number 1467830083
LBN Legal business name Supon, Ryan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2015
Last updated Jun 20th, 2018 - about 8 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.

Request for update

Popular Providers