Longmore, Ryan Bradley
Longmore, Ryan Bradley is an individual health care provider with primary practice located at 777 Hospital Way # 101 , Pocatello ID 83201-5175. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Longmore, Ryan Bradley can be contacted via phone (208) 234-2001.Contact Information
Primary practice address
777 Hospital Way # 101
Pocatello ID 83201-5175
Phone: (208) 234-2001
Fax: (208) 232-2195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008024770 | Missouri |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | O-0884 | Idaho |
Profile Details
NPI number | 1285884213 |
---|---|
LBN Legal business name | Longmore, Ryan Bradley |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2008 |
Last updated | Jun 14th, 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.
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