Ryan, Jennifer
Ryan, Jennifer is an sole proprietor health care provider with primary practice located at 57 City Hall Ave , Gardner MA 01440-2614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ryan, Jennifer can be contacted via phone (978) 630-3862.Contact Information
Primary practice address
57 City Hall Ave
Gardner MA 01440-2614
Phone: (978) 630-3862
Fax: (978) 630-4176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 214124 | Massachusetts |
Profile Details
| NPI number | 1467427708 |
|---|---|
| LBN Legal business name | Ryan, Jennifer |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Nov 29th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467427708 | NPPES |
| Massachusetts | MEDICAID | 0178241 |
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