Pedersen, Ryan
Pedersen, Ryan is an individual health care provider with primary practice located at 8783 West Hackamore Drive Suite #8, Boise ID 83709. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Pedersen, Ryan can be contacted via phone (208) 376-7172.Contact Information
Primary practice address
8783 West Hackamore Drive Suite #8
Boise ID 83709
Phone: (208) 376-7172
Fax: (208) 376-4778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | ACU-119 | Idaho |
| Other Service Providers / Acupuncturist | 171100000X | NM 831 | Idaho |
Profile Details
| NPI number | 1437354453 |
|---|---|
| LBN Legal business name | Pedersen, Ryan |
| Credentials | L.AC., D.O.M. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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