Peterson, Ryan Kent
Peterson, Ryan Kent is an individual health care provider with primary practice located at 4401 E Sunset Rd Suite 4, Henderson NV 89014-0274. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Peterson, Ryan Kent can be contacted via phone (702) 299-6200.Contact Information
Primary practice address
4401 E Sunset Rd Suite 4
Henderson NV 89014-0274
Phone: (702) 299-6200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 532 | Nevada |
Profile Details
| NPI number | 1902864614 |
|---|---|
| LBN Legal business name | Peterson, Ryan Kent |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jan 31st, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902864614 | NPPES |
| Nevada | MEDICAID | 100506817 |
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