Ryan, Madeline Louise

Ryan, Madeline Louise is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ryan, Madeline Louise can be contacted via phone (574) 247-9441.

Contact Information

Primary practice address
53880 Carmichael Dr South Bend IN 46635-1567
Phone: (574) 247-9441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10002488A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100024888A Indiana

Profile Details

NPI number 1164909172
LBN Legal business name Ryan, Madeline Louise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 2nd, 2024 - about last year

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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