Matherly, Ryan D.
Matherly, Ryan D. is an individual health care provider with primary practice located at 2115 W Lexington Ave , Elkhart IN 46514-1423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Matherly, Ryan D. can be contacted via phone (574) 296-3955.Contact Information
Primary practice address
2115 W Lexington Ave
Elkhart IN 46514-1423
Phone: (574) 296-3955
Fax: (574) 296-3999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01027540A | Indiana |
Profile Details
| NPI number | 1356344972 |
|---|---|
| LBN Legal business name | Matherly, Ryan D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Oct 19th, 2010 - about 14 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 | 1356344972 | NPPES |
| Indiana | MEDICAID | 100112400A |
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