Ryan, Marsha G

Ryan, Marsha G is an individual health care provider with primary practice located at 1237 E Main St Ste C1, Carbondale IL 62901-3148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ryan, Marsha G can be contacted via phone (618) 457-2281.

Contact Information

Primary practice address
1237 E Main St Ste C1 Carbondale IL 62901-3148
Fax: (618) 529-0573
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036061951 Illinois

Profile Details

NPI number 1548257322
LBN Legal business name Ryan, Marsha G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 30th, 2014 - about 11 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 1548257322 NPPES
Illinois MEDICAID 036061951

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