Reist, Ryan Bradley

Reist, Ryan Bradley is an sole proprietor health care provider with primary practice located at 2601 Indiana Ave , Fort Campbell KY 42223-5602. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Reist, Ryan Bradley can be contacted via phone (716) 560-2896.

Contact Information

Primary practice address
2601 Indiana Ave Fort Campbell KY 42223-5602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2015027208 Missouri

Profile Details

NPI number 1417479080
LBN Legal business name Reist, Ryan Bradley
Credentials RD, CSSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2017
Last updated Aug 9th, 2017 - about 7 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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