Ryan, Amanda

Ryan, Amanda is an sole proprietor health care provider with primary practice located at 2851 University Ave , Green Bay WI 54311-5855. She recently has only one registered license in Ambulatory Health Care Facilities / VA, which is considered as her primary health care specialty. Ryan, Amanda can be contacted via phone (716) 440-4117.

Contact Information

Primary practice address
2851 University Ave Green Bay WI 54311-5855
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / VA 261QV0200X 060491 New York

Profile Details

NPI number 1114300332
LBN Legal business name Ryan, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2015
Last updated Jul 7th, 2015 - about 10 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 1114300332 NPPES
New York Other 060491 NEW YORK STATE PHARMACIST LICENSE NUMBER

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