Davis, Ryan

Davis, Ryan is an individual health care provider with primary practice located at 82 New Park Ave , North Franklin CT 06254-1807. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Davis, Ryan can be contacted via phone (860) 889-7345.

Contact Information

Primary practice address
82 New Park Ave North Franklin CT 06254-1807
Phone: (860) 889-7345
Fax: (860) 855-7229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3466 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3466 Connecticut

Profile Details

NPI number 1548632581
LBN Legal business name Davis, Ryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Oct 30th, 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 1548632581 NPPES
Connecticut MEDICAID 004002358

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