Anderson, Rylan
Anderson, Rylan is an sole proprietor health care provider with primary practice located at 465 Memorial Dr , Pocatello ID 83201-4008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Rylan can be contacted via phone (208) 232-7862.Contact Information
Primary practice address
465 Memorial Dr
Pocatello ID 83201-4008
Phone: (208) 232-7862
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MRO-2301 | Idaho |
Profile Details
| NPI number | 1184317554 |
|---|---|
| LBN Legal business name | Anderson, Rylan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2023 |
| Last updated | May 31st, 2023 - about 2 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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