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
Phone: (307) 688-0110
Fax: (307) 688-0111
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619024544 | NPPES |
Oklahoma | Other | 208D00000X | TAXONOMY CODE |
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