Ryan, Douglas Robert

Ryan, Douglas Robert is an sole proprietor health care provider with primary practice located at 2900 Doolittle Dr , Ellsworth Afb SD 57706-4821. He 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 his primary health care specialty. Ryan, Douglas Robert can be contacted via phone (605) 385-6700.

Contact Information

Primary practice address
2900 Doolittle Dr Ellsworth Afb SD 57706-4821
Phone: (605) 385-6700
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1467086249
LBN Legal business name Ryan, Douglas Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2020
Last updated May 4th, 2022 - about 2 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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