Clary, Judith Ryan

Clary, Judith Ryan is an individual health care provider with primary practice located at 2000 N Beauregard St Suite 330, Alexandria VA 22311-1748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Clary, Judith Ryan can be contacted via phone (703) 370-2400.

Contact Information

Primary practice address
2000 N Beauregard St Suite 330 Alexandria VA 22311-1748
Phone: (703) 370-2400
Fax: (703) 370-7214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006132 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0005383 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110005075 Virginia

Profile Details

NPI number 1841587789
LBN Legal business name Clary, Judith Ryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2011
Last updated Nov 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841587789 NPPES
Georgia MEDICAID 003112418C

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