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
Phone: (716) 440-4117
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114300332 | NPPES |
New York | Other | 060491 | NEW YORK STATE PHARMACIST LICENSE NUMBER |
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