Casper, Ryan Matthew

Casper, Ryan Matthew is an individual health care provider with primary practice located at 13965 N. 75Th Avenue , Peoria AZ 85381-6097. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Casper, Ryan Matthew can be contacted via phone (602) 843-2991.

Contact Information

Primary practice address
13965 N. 75Th Avenue Peoria AZ 85381-6097
Phone: (602) 843-2991
Fax: (602) 978-1226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 46975 Wisconsin
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 36886 Arizona

Profile Details

NPI number 1306898846
LBN Legal business name Casper, Ryan Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 1st, 2019 - about 6 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 1306898846 NPPES
Other 009906261K HUMANA
MEDICAID 34552100 HUMANA

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