Waller, Ryan

Waller, Ryan is an individual health care provider with primary practice located at 872 S 291 Hwy , Liberty MO 64068-2296. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Waller, Ryan can be contacted via phone (816) 415-1700.

Contact Information

Primary practice address
872 S 291 Hwy Liberty MO 64068-2296
Fax: (816) 415-1705
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2013007124 Missouri

Profile Details

NPI number 1265868384
LBN Legal business name Waller, Ryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2013
Last updated Sep 20th, 2013 - about 13 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 1265868384 NPPES
Missouri Other 2013007124 HEARING AID DISPENSER LICENSE

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