Bingham, Ryan Kirk

Bingham, Ryan Kirk is an individual health care provider with primary practice located at 2855 E Brown Rd Ste 28 , Mesa AZ 85213-4217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bingham, Ryan Kirk can be contacted via phone (480) 625-4538.

Contact Information

Primary practice address
2855 E Brown Rd Ste 28 Mesa AZ 85213-4217
Fax: (480) 625-4561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 6905 Arizona

Profile Details

NPI number 1548779713
LBN Legal business name Bingham, Ryan Kirk
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 24th, 2023 - about last year

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 1548779713 NPPES
Arizona Other 14099384 CAQH
Arizona Other 6905 CAQH

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