Fan, Ryan

Fan, Ryan is an individual health care provider with primary practice located at 1028 Wisconsin Ave , Boscobel WI 53805-1532. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fan, Ryan can be contacted via phone (703) 606-1417.

Contact Information

Primary practice address
1028 Wisconsin Ave Boscobel WI 53805-1532
Phone: (703) 606-1417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19763-40 Wisconsin

Profile Details

NPI number 1174182489
LBN Legal business name Fan, Ryan
Credentials R.PH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Jun 10th, 2019 - about 5 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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