Alsentzer, Andrew Ryan

Alsentzer, Andrew Ryan is an individual health care provider with primary practice located at 2025 N Mount Juliet Rd Ste 200 , Mt Juliet TN 37122-3934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Alsentzer, Andrew Ryan can be contacted via phone (629) 255-2022.

Contact Information

Primary practice address
2025 N Mount Juliet Rd Ste 200 Mt Juliet TN 37122-3934
Fax: (629) 255-4213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54439 Tennessee

Profile Details

NPI number 1477991644
LBN Legal business name Alsentzer, Andrew Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2013
Last updated Jan 12th, 2021 - about 3 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 1477991644 NPPES
Tennessee MEDICAID Q022611

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