Ryan, Colleen E

Ryan, Colleen E is an individual health care provider with primary practice located at 1350 Main St , Walpole MA 02081-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ryan, Colleen E can be contacted via phone (508) 668-2200.

Contact Information

Primary practice address
1350 Main St Walpole MA 02081-1718
Phone: (508) 668-2200
Fax: (508) 668-6539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 79455 Massachusetts

Profile Details

NPI number 1326040783
LBN Legal business name Ryan, Colleen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 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 1326040783 NPPES
Massachusetts MEDICAID 3125998
Massachusetts Other 36145
Massachusetts Other 9314935
Massachusetts Other 4514287
Massachusetts Other 920717
Massachusetts Other 79455
Massachusetts Other J14629
Massachusetts Other 079455
Massachusetts Other 200481
Massachusetts Other 3125998
Massachusetts Other P2967576

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