Peters, Ryan Keith

Peters, Ryan Keith is an sole proprietor health care provider with primary practice located at 252 Harry Lane Blvd Ste 201 , Knoxville TN 37923-4912. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Peters, Ryan Keith can be contacted via phone (865) 338-5384.

Contact Information

Primary practice address
252 Harry Lane Blvd Ste 201 Knoxville TN 37923-4912
Phone: (865) 338-5384
Fax: (865) 338-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1660 Tennessee

Profile Details

NPI number 1144385402
LBN Legal business name Peters, Ryan Keith
Credentials LPC-MHSP, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2019 - about 5 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 1144385402 NPPES
Tennessee MEDICAID 5441126

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