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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1003015447 NPPES
Illinois Other 809840 MEDICARE GROUP NUMBER

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