Breland, Ryan Baker

Breland, Ryan Baker is an individual health care provider with primary practice located at 1500 Ross Clark Cir , Dothan AL 36301-4754. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Breland, Ryan Baker can be contacted via phone (334) 793-2663.

Contact Information

Primary practice address
1500 Ross Clark Cir Dothan AL 36301-4754
Phone: (334) 793-2663
Fax: (334) 836-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.33550 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 46371 Kentucky
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 82519 Georgia

Profile Details

NPI number 1477725455
LBN Legal business name Breland, Ryan Baker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2008
Last updated Mar 30th, 2020 - about 5 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 1477725455 NPPES
Georgia MEDICAID 003153634A
Georgia MEDICAID 163853
Georgia Other 1477725455
Georgia Other 511-52484
Georgia MEDICAID 163245
Georgia Other 511-52483

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