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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962446930 | NPPES |
| Michigan | Other | 5601004797 | STATE LICENSE NUMER |
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