Haaksma, Ryan Alexander
Haaksma, Ryan Alexander is an individual health care provider with primary practice located at 5841 Argerian Dr Ste 102 , Wesley Chapel FL 33545-4505. He recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Haaksma, Ryan Alexander can be contacted via phone (813) 788-1006.Contact Information
Primary practice address
5841 Argerian Dr Ste 102
Wesley Chapel FL 33545-4505
Phone: (813) 788-1006
Fax: (813) 726-5153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO4370 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO4370 | Florida |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | PO4370 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO4370 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO4370 | Florida |
Profile Details
| NPI number | 1578026662 |
|---|---|
| LBN Legal business name | Haaksma, Ryan Alexander |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2019 |
| Last updated | Feb 19th, 2024 - about 10 months 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 | 1578026662 | NPPES |
| Florida | MEDICAID | 113511400 | |
| Florida | Other | YAFJF | |
| Florida | Other | 15439522 |
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