Dartez, Ryan M
Dartez, Ryan M is an sole proprietor health care provider with primary practice located at 509 Jefferson St , Lafayette LA 70501-6905. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dartez, Ryan M can be contacted via phone (337) 235-4578.Contact Information
Primary practice address
509 Jefferson St
Lafayette LA 70501-6905
Phone: (337) 235-4578
Fax: (337) 235-4570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 15874 | Louisiana |
Profile Details
NPI number | 1063554574 |
---|---|
LBN Legal business name | Dartez, Ryan M |
Credentials | R.PH., MBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 12th, 2007 |
Last updated | Dec 19th, 2023 - about 2 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 | 1063554574 | NPPES |
Louisiana | MEDICAID | 1895997 | |
Louisiana | Other | 15874 |
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