Lane, Paul Ryan
Lane, Paul Ryan is an sole proprietor health care provider with primary practice located at 4101 N Water Tower Pl , Mount Vernon IL 62864-6296. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lane, Paul Ryan can be contacted via phone (618) 244-6222.Contact Information
Primary practice address
4101 N Water Tower Pl
Mount Vernon IL 62864-6296
Phone: (618) 244-6222
Fax: (618) 246-1247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.007905 | Illinois |
Profile Details
| NPI number | 1962023820 |
|---|---|
| LBN Legal business name | Lane, Paul Ryan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2020 |
| Last updated | Dec 18th, 2020 - about 4 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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