Anderson, Ryan W
Anderson, Ryan W is an individual health care provider with primary practice located at 3701 Maccorkle Ave Se , Charleston WV 25304-1525. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Anderson, Ryan W can be contacted via phone (304) 442-5151.Contact Information
Primary practice address
3701 Maccorkle Ave Se
Charleston WV 25304-1525
Phone: (304) 442-5151
Fax: (304) 442-7494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01148 | West Virginia |
Profile Details
| NPI number | 1407847833 |
|---|---|
| LBN Legal business name | Anderson, Ryan W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407847833 | NPPES |
| West Virginia | Other | 374 | WV BD. OSTEO LICENSE |
| West Virginia | Other | 01148 | WV BD. OSTEO LICENSE |
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