Embertson, Ryan Eric
Embertson, Ryan Eric is an sole proprietor health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Embertson, Ryan Eric can be contacted via phone (800) 841-4236.Contact Information
Primary practice address
300 Singleton Ridge Rd
Conway SC 29526-9142
Phone: (800) 841-4236
Fax: (843) 497-8566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 82112 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2017-01019 | North Carolina |
Profile Details
| NPI number | 1871835363 |
|---|---|
| LBN Legal business name | Embertson, Ryan Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2013 |
| Last updated | Jul 9th, 2019 - about 6 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 | 1871835363 | NPPES |
| South Carolina | MEDICAID | 821123 |
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