Parnham, Ryan Eugene
Parnham, Ryan Eugene is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave Suite 108, Peoria IL 61537-3167. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Parnham, Ryan Eugene can be contacted via phone (309) 624-8818.Contact Information
Primary practice address
530 Ne Glen Oak Ave Suite 108
Peoria IL 61537-3167
Phone: (309) 624-8818
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209006653 | Illinois |
Profile Details
NPI number | 1003015447 |
---|---|
LBN Legal business name | Parnham, Ryan Eugene |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2007 |
Last updated | Mar 17th, 2009 - about 15 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 | 1003015447 | NPPES |
Illinois | Other | 809840 | MEDICARE GROUP NUMBER |
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