Rodenbough, John Ryan
Rodenbough, John Ryan is an sole proprietor health care provider with primary practice located at 1126 N Church St Ste 103 , Greensboro NC 27401-1035. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Rodenbough, John Ryan can be contacted via phone (336) 663-4900.Contact Information
Primary practice address
1126 N Church St Ste 103
Greensboro NC 27401-1035
Phone: (336) 663-4900
Fax: (336) 663-4920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2257 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2257 | North Carolina |
Profile Details
| NPI number | 1932140779 |
|---|---|
| LBN Legal business name | Rodenbough, John Ryan |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Aug 13th, 2021 - about 4 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 | 1932140779 | NPPES |
| North Carolina | Other | 0405V | BCBS NC |
| North Carolina | Other | 5857267 | BCBS NC |
| North Carolina | Other | B5701 | BCBS NC |
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