Rogers, Ryan Willard
Rogers, Ryan Willard is an individual health care provider with primary practice located at 441 W Elm St , Lebanon MO 65536-3523. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rogers, Ryan Willard can be contacted via phone (417) 532-2890.Contact Information
Primary practice address
441 W Elm St
Lebanon MO 65536-3523
Phone: (417) 532-2890
Fax: (417) 532-2965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2011003943 | Missouri |
Profile Details
| NPI number | 1124325907 |
|---|---|
| LBN Legal business name | Rogers, Ryan Willard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2011 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124325907 | NPPES |
| Missouri | MEDICAID | 220026034 |
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