Fader, Ryan Robert

Fader, Ryan Robert is an sole proprietor health care provider with primary practice located at 8100 W 78Th St Ste 225 , Edina MN 55439-2569. 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 / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fader, Ryan Robert can be contacted via phone (952) 946-9777.

Contact Information

Primary practice address
8100 W 78Th St Ste 225 Edina MN 55439-2569
Phone: (952) 946-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 282757 New York

Profile Details

NPI number 1508156571
LBN Legal business name Fader, Ryan Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2011
Last updated Mar 2nd, 2021 - about 4 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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