Mcdivitt, Ryan Louis

Mcdivitt, Ryan Louis is an individual health care provider with primary practice located at 10940 E Us Highway 36 , Avon IN 46123-7980. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcdivitt, Ryan Louis can be contacted via phone (317) 808-7000.

Contact Information

Primary practice address
10940 E Us Highway 36 Avon IN 46123-7980
Phone: (317) 808-7000
Fax: (317) 808-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05009023A Indiana

Profile Details

NPI number 1689872772
LBN Legal business name Mcdivitt, Ryan Louis
Credentials PT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated May 17th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689872772 NPPES
Indiana MEDICAID 201002710

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