Walker, Ryan Mitchell

Walker, Ryan Mitchell is an individual health care provider with primary practice located at 803 N 36Th St Suite C, Saint Joseph MO 64506-2970. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Walker, Ryan Mitchell can be contacted via phone (816) 364-4422.

Contact Information

Primary practice address
803 N 36Th St Suite C Saint Joseph MO 64506-2970
Phone: (816) 364-4422
Fax: (816) 364-1122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2003011564 Missouri

Profile Details

NPI number 1679658876
LBN Legal business name Walker, Ryan Mitchell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1679658876 NPPES
Missouri Other 33866024 BLUE CROSS & BLUE SHIELD
Missouri Other 11564 BLUE CROSS & BLUE SHIELD

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