Ryan, John B

Ryan, John B is an individual health care provider with primary practice located at 11012 E 13 Mile Rd Ste 201 , Warren MI 48093-2547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ryan, John B can be contacted via phone (586) 582-0864.

Contact Information

Primary practice address
11012 E 13 Mile Rd Ste 201 Warren MI 48093-2547
Phone: (586) 582-0864
Fax: (586) 582-0964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301068798 Michigan

Profile Details

NPI number 1023000882
LBN Legal business name Ryan, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Aug 25th, 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 1023000882 NPPES
Michigan MEDICAID 4528910
Michigan Other JR068798

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