Black, Ryan Duane

Black, Ryan Duane is an individual health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Black, Ryan Duane can be contacted via phone (307) 688-0110.

Contact Information

Primary practice address
501 S Burma Ave Gillette WY 82716-3426
Fax: (307) 688-0111
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 14427A Wyoming
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 14427A Wyoming

Profile Details

NPI number 1619024544
LBN Legal business name Black, Ryan Duane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Apr 3rd, 2024 - about 8 months 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 1619024544 NPPES
Oklahoma Other 208D00000X TAXONOMY CODE

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