Cowburn, Ryan William
Cowburn, Ryan William is an sole proprietor health care provider with primary practice located at 2121 Shelly Dr , Indiana PA 15701-2395. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cowburn, Ryan William can be contacted via phone (724) 349-1237.Contact Information
Primary practice address
2121 Shelly Dr
Indiana PA 15701-2395
Phone: (724) 349-1237
Fax: (724) 465-0127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000276 | Pennsylvania |
Profile Details
| NPI number | 1669487252 |
|---|---|
| LBN Legal business name | Cowburn, Ryan William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669487252 | NPPES |
| Pennsylvania | MEDICAID | 001923214 |
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