Ryan, Debra Ann

Ryan, Debra Ann is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ryan, Debra Ann can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Fax: (570) 887-2694
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD031741E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 178361-1 New York

Profile Details

NPI number 1912971276
LBN Legal business name Ryan, Debra Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 16th, 2012 - about 12 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 1912971276 NPPES
Pennsylvania Other CC9269 RR MEDICARE GROUP
Pennsylvania Other 110209290 RR MEDICARE GROUP
Pennsylvania Other GU039812 RR MEDICARE GROUP
Pennsylvania MEDICAID 0010469440001 RR MEDICARE GROUP
Pennsylvania MEDICAID 00960605 RR MEDICARE GROUP

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