Ryan, Jason W

Ryan, Jason W is an individual health care provider with primary practice located at 2080 W Arlington Blvd Ste B , Greenville NC 27834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ryan, Jason W can be contacted via phone (252) 752-2140.

Contact Information

Primary practice address
2080 W Arlington Blvd Ste B Greenville NC 27834
Phone: (252) 752-2140
Fax: (252) 689-6502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 200200591 North Carolina

Profile Details

NPI number 1396807988
LBN Legal business name Ryan, Jason W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Apr 8th, 2021 - about 4 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 1396807988 NPPES
North Carolina Other 1396807988 TRICARE
North Carolina Other P00603496 TRICARE
North Carolina Other 131P8 TRICARE
North Carolina MEDICAID 89131P8 TRICARE
North Carolina Other 195403 TRICARE

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