Haberthier-Ryan, Lucy

Haberthier-Ryan, Lucy is an individual health care provider with primary practice located at 1180 College Dr , Rock Springs WY 82901-5863. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Haberthier-Ryan, Lucy can be contacted via phone (307) 212-7717.

Contact Information

Primary practice address
1180 College Dr Rock Springs WY 82901-5863
Phone: (307) 212-7717
Fax: (307) 212-7513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X J5094 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12406A Wyoming

Profile Details

NPI number 1265449060
LBN Legal business name Haberthier-Ryan, Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jan 23rd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265449060 NPPES
Texas Other 0020ED BLUECROSS/BLUESHIELD
Texas MEDICAID 130812404 BLUECROSS/BLUESHIELD
Texas Other 10020015 BLUECROSS/BLUESHIELD
Texas Other 5695001 BLUECROSS/BLUESHIELD

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