Daniel, Jarrod Ryan

Daniel, Jarrod Ryan is an individual health care provider with primary practice located at 2215 Randolph Road , Charlotte NC 28207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Daniel, Jarrod Ryan can be contacted via phone (704) 372-6846.

Contact Information

Primary practice address
2215 Randolph Road Charlotte NC 28207
Phone: (704) 372-6846
Fax: (704) 342-0752
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49702 Minnesota
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2013--01297 North Carolina

Profile Details

NPI number 1053452615
LBN Legal business name Daniel, Jarrod Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Nov 19th, 2013 - about 11 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 1053452615 NPPES
Minnesota MEDICAID 639138000

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