Clark, Ryan Stewart
Clark, Ryan Stewart is an sole proprietor health care provider with primary practice located at 1380 E Stroop Rd , Kettering OH 45429-4926. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Clark, Ryan Stewart can be contacted via phone (937) 293-3486.Contact Information
Primary practice address
1380 E Stroop Rd
Kettering OH 45429-4926
Phone: (937) 293-3486
Fax: (937) 293-3605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34010728 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 58.003689 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34010728 | Ohio |
Profile Details
| NPI number | 1396049011 |
|---|---|
| LBN Legal business name | Clark, Ryan Stewart |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2011 |
| Last updated | Jan 28th, 2021 - 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 | 1396049011 | NPPES |
| Ohio | MEDICAID | 0100097 |
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