Bryan, Ronald William

Bryan, Ronald William is an sole proprietor health care provider with primary practice located at 9330 Park West Blvd Suite #103, Knoxville TN 37923-4308. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bryan, Ronald William can be contacted via phone (865) 690-7820.

Contact Information

Primary practice address
9330 Park West Blvd Suite #103 Knoxville TN 37923-4308
Phone: (865) 690-7820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0000013662 Tennessee

Profile Details

NPI number 1366615734
LBN Legal business name Bryan, Ronald William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 17 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 1366615734 NPPES
Tennessee MEDICAID 3171572
Tennessee Other B03474

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