Petersen, Ryan Jon

Petersen, Ryan Jon is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy Roseburg Or 97471, Roseburg OR 97471-1281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Petersen, Ryan Jon can be contacted via phone (314) 750-3965.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Roseburg Or 97471 Roseburg OR 97471-1281
Phone: (314) 750-3965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD125955 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X BB4745785-2005017258 Missouri

Profile Details

NPI number 1568551521
LBN Legal business name Petersen, Ryan Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 19th, 2023 - about last year

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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