Ryals, Paul Carleton

Ryals, Paul Carleton is an individual health care provider with primary practice located at 7362 University Ave Ne Suite 101, Fridley MN 55432-3142. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ryals, Paul Carleton can be contacted via phone (763) 503-3981.

Contact Information

Primary practice address
7362 University Ave Ne Suite 101 Fridley MN 55432-3142
Phone: (763) 503-3981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16789 Minnesota

Profile Details

NPI number 1336152644
LBN Legal business name Ryals, Paul Carleton
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 14th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336152644 NPPES
Minnesota Other 6255168 MEDICA
Minnesota MEDICAID 246058100 MEDICA
Minnesota Other 8G624DI MEDICA

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