Pridemore, Ryan Blake

Pridemore, Ryan Blake is an individual health care provider with primary practice located at 18511 Highlander Medics St , Fort Bliss TX 79906-5327. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Pridemore, Ryan Blake can be contacted via phone (423) 312-1031.

Contact Information

Primary practice address
18511 Highlander Medics St Fort Bliss TX 79906-5327
Phone: (423) 312-1031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT9424 Texas

Profile Details

NPI number 1033895602
LBN Legal business name Pridemore, Ryan Blake
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2023
Last updated Jun 27th, 2023 - about 2 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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