Heyborne, Ryan Daniel
Heyborne, Ryan Daniel is an sole proprietor health care provider with primary practice located at 3025 W Cherry Lane , Meridian ID 83642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Heyborne, Ryan Daniel can be contacted via phone (208) 302-6400.Contact Information
Primary practice address
3025 W Cherry Lane
Meridian ID 83642
Phone: (208) 302-6400
Fax: (208) 302-6455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01062424A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M10210 | Idaho |
Profile Details
| NPI number | 1659573889 |
|---|---|
| LBN Legal business name | Heyborne, Ryan Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659573889 | NPPES |
| Idaho | MEDICAID | 808011700 |
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