Ryan, Cory Louise

Ryan, Cory Louise is an individual health care provider with primary practice located at 5333 Mcauley Dr Rm 3111 , Ypsilanti MI 48197-1098. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ryan, Cory Louise can be contacted via phone (734) 712-7688.

Contact Information

Primary practice address
5333 Mcauley Dr Rm 3111 Ypsilanti MI 48197-1098
Phone: (734) 712-7688
Fax: (734) 712-7056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004797 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004797 Michigan

Profile Details

NPI number 1962446930
LBN Legal business name Ryan, Cory Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 9th, 2021 - about 3 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 1962446930 NPPES
Michigan Other 5601004797 STATE LICENSE NUMER

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