Tiscareno, Ryan

Tiscareno, Ryan is an individual health care provider with primary practice located at 621 West Cherry Ave , Flagstaff AZ 86001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Tiscareno, Ryan can be contacted via phone (209) 614-5876.

Contact Information

Primary practice address
621 West Cherry Ave Flagstaff AZ 86001
Phone: (209) 614-5876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Arizona

Profile Details

NPI number 1912432675
LBN Legal business name Tiscareno, Ryan
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2017
Last updated May 1st, 2017 - about 9 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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