Conner, James Ryan

Conner, James Ryan is an sole proprietor health care provider with primary practice located at 1118 Ross Clark Cir Suite 303, Dothan AL 36301-3001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Conner, James Ryan can be contacted via phone (334) 794-3192.

Contact Information

Primary practice address
1118 Ross Clark Cir Suite 303 Dothan AL 36301-3001
Phone: (334) 794-3192
Fax: (334) 792-7513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22776 Alabama

Profile Details

NPI number 1386619807
LBN Legal business name Conner, James Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2006
Last updated Dec 16th, 2009 - about 15 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 1386619807 NPPES
Georgia Other 00825591A GEORGIA MEDICAID
Georgia Other P00031526 GEORGIA MEDICAID
Georgia Other 051512609 GEORGIA MEDICAID
Georgia MEDICAID 051552723 GEORGIA MEDICAID
Georgia Other 61992 GEORGIA MEDICAID

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