Fajardo, Ryan Stephen

Fajardo, Ryan Stephen is an individual health care provider with primary practice located at 804 Service Rd Ste D100 , East Lansing MI 48824-7015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fajardo, Ryan Stephen can be contacted via phone (517) 353-5053.

Contact Information

Primary practice address
804 Service Rd Ste D100 East Lansing MI 48824-7015
Phone: (517) 353-5053
Fax: (517) 432-4394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301095664 Michigan

Profile Details

NPI number 1932286945
LBN Legal business name Fajardo, Ryan Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 10th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932286945 NPPES
Michigan MEDICAID 1932286945

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