Carlson, Ryan M.
Carlson, Ryan M. is an individual health care provider with primary practice located at 1933 Ohio Drive , Grove City OH 43123-4835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Carlson, Ryan M. can be contacted via phone (614) 277-9530.Contact Information
Primary practice address
1933 Ohio Drive
Grove City OH 43123-4835
Phone: (614) 277-9530
Fax: (614) 277-2227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 5101016570 | Michigan |
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 34.009281 | Ohio |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 34.009281 | Ohio |
Profile Details
NPI number | 1053534172 |
---|---|
LBN Legal business name | Carlson, Ryan M. |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2007 |
Last updated | Mar 4th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053534172 | NPPES |
Ohio | MEDICAID | 2851301 |
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