Ryan, Amanda D.

Ryan, Amanda D. is an individual health care provider with primary practice located at 2420 W Pierce St Suite 100, Carlsbad NM 88220-3543. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Ryan, Amanda D. can be contacted via phone (575) 234-1855.

Contact Information

Primary practice address
2420 W Pierce St Suite 100 Carlsbad NM 88220-3543
Fax: (575) 234-2854
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X A-1931-16 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OC10503 Florida

Profile Details

NPI number 1689756595
LBN Legal business name Ryan, Amanda D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Aug 27th, 2020 - about 5 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 1689756595 NPPES
Florida Other 78306 BCBS
Florida MEDICAID 000430500 BCBS

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