Ryan, Amy Rose

Ryan, Amy Rose is an individual health care provider with primary practice located at 6330 W Thunderbird Rd , Glendale AZ 85306-4002. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ryan, Amy Rose can be contacted via phone (623) 486-6000.

Contact Information

Primary practice address
6330 W Thunderbird Rd Glendale AZ 85306-4002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0933 Arizona

Profile Details

NPI number 1144351883
LBN Legal business name Ryan, Amy Rose
Credentials OTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 9th, 2007 - about 18 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 1144351883 NPPES
Arizona MEDICAID 317679

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