Ryan, Jimmy Lynn

Ryan, Jimmy Lynn is an individual health care provider with primary practice located at 1288 W 12700 S , Riverton UT 84065-6794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ryan, Jimmy Lynn can be contacted via phone (801) 253-3500.

Contact Information

Primary practice address
1288 W 12700 S Riverton UT 84065-6794
Fax: (801) 253-5859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 172229-1205 Utah

Profile Details

NPI number 1508800145
LBN Legal business name Ryan, Jimmy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 25th, 2015 - about 9 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 1508800145 NPPES
Utah Other QM0000032877 ALTIUS HEALTH PLANS
Utah Other 870641072RY1 ALTIUS HEALTH PLANS
Utah Other PR00710 ALTIUS HEALTH PLANS
Utah Other 071262 ALTIUS HEALTH PLANS

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