Itzcovich Schuster, Ryan Michael
Itzcovich Schuster, Ryan Michael is an sole proprietor health care provider with primary practice located at 4106 Ridgewood Ave , Bellingham WA 98229-2535. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Itzcovich Schuster, Ryan Michael can be contacted via phone (213) 259-3156.Contact Information
Primary practice address
4106 Ridgewood Ave
Bellingham WA 98229-2535
Phone: (213) 259-3156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 29137 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 61117866 | Washington |
Profile Details
| NPI number | 1619256914 |
|---|---|
| LBN Legal business name | Itzcovich Schuster, Ryan Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Oct 14th, 2022 - about 2 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 | 1619256914 | NPPES |
| California | Other | PSY29137 | PSYCHOLOGIST LICENSE |
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