Ryan, Jeff L

Ryan, Jeff L is an sole proprietor health care provider with primary practice located at 7559 N Tongass Hwy , Ketchikan AK 99901-9182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ryan, Jeff L can be contacted via phone (907) 228-0185.

Contact Information

Primary practice address
7559 N Tongass Hwy Ketchikan AK 99901-9182
Fax: (907) 225-0184
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 116345 Alaska
Allopathic & Osteopathic Physicians / Surgery 208600000X MD22074 Alabama

Profile Details

NPI number 1548200504
LBN Legal business name Ryan, Jeff L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Jan 13th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548200504 NPPES
Alabama MEDICAID 123075

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