Ryan, Andrew
Ryan, Andrew is an individual health care provider with primary practice located at 1717 Arlington Ave Emergency Department, Caldwell ID 83605-4802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ryan, Andrew can be contacted via phone (208) 459-4641.Contact Information
Primary practice address
1717 Arlington Ave Emergency Department
Caldwell ID 83605-4802
Phone: (208) 459-4641
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-731 | Idaho |
Profile Details
| NPI number | 1336318914 |
|---|---|
| LBN Legal business name | Ryan, Andrew |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Feb 27th, 2008 - about 16 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 | 1336318914 | NPPES |
| Idaho | Other | PA-731 | LICENSE |
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