Barrett, Ryan Thomas

Barrett, Ryan Thomas is an individual health care provider with primary practice located at 360 E Mallard Dr Ste 110, Boise ID 83706-3945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Barrett, Ryan Thomas can be contacted via phone (208) 336-8700.

Contact Information

Primary practice address
360 E Mallard Dr Ste 110 Boise ID 83706-3945
Fax: (208) 426-0902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M-13360 Idaho

Profile Details

NPI number 1982994844
LBN Legal business name Barrett, Ryan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Oct 14th, 2016 - about 9 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 1982994844 NPPES
Idaho MEDICAID 805858400

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