Ryan, Anita

Ryan, Anita is an sole proprietor health care provider with primary practice located at 304 W Burke St , Martinsburg WV 25401-3324. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ryan, Anita can be contacted via phone (304) 263-4741.

Contact Information

Primary practice address
304 W Burke St Martinsburg WV 25401-3324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 00938457 West Virginia

Profile Details

NPI number 1831198365
LBN Legal business name Ryan, Anita
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1831198365 NPPES
West Virginia MEDICAID 3810000515

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