Church, Ryan Dennis
Church, Ryan Dennis is an sole proprietor health care provider with primary practice located at 1220 E 3900 S Ste 1F , Salt Lake City UT 84124-1327. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Church, Ryan Dennis can be contacted via phone (801) 262-5711.Contact Information
Primary practice address
1220 E 3900 S Ste 1F
Salt Lake City UT 84124-1327
Phone: (801) 262-5711
Fax: (801) 262-5741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 278935-4405 | Utah |
Profile Details
| NPI number | 1912909714 |
|---|---|
| LBN Legal business name | Church, Ryan Dennis |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Nov 11th, 2020 - about 4 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 | 1912909714 | NPPES |
| Utah | Other | 27893544001001 | BCBS |
| Utah | Other | P99858 | BCBS |
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