Ryan, Dennis

Ryan, Dennis is an individual health care provider with primary practice located at 250 N Wickham Rd , Melbourne FL 32935-8625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ryan, Dennis can be contacted via phone (800) 476-8646.

Contact Information

Primary practice address
250 N Wickham Rd Melbourne FL 32935-8625
Phone: (800) 476-8646
Fax: (919) 382-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2201 Florida

Profile Details

NPI number 1700888989
LBN Legal business name Ryan, Dennis
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 29th, 2010 - about 14 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 1700888989 NPPES
Florida MEDICAID 291736000

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