Tremb, Ryan Joseph

Tremb, Ryan Joseph is an individual health care provider with primary practice located at 1614 E Norris Dr , Ottawa IL 61350-3681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tremb, Ryan Joseph can be contacted via phone (815) 433-1010.

Contact Information

Primary practice address
1614 E Norris Dr Ottawa IL 61350-3681
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036119146 Illinois

Profile Details

NPI number 1568638989
LBN Legal business name Tremb, Ryan Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Oct 23rd, 2015 - about 11 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 1568638989 NPPES
Illinois Other 203568 MEDICARE PTAN
Illinois MEDICAID 036119146 MEDICARE PTAN

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