Ryan, Michael G
Ryan, Michael G is an individual health care provider with primary practice located at 19485 Old Jetton Rd Suite 100, Cornelius NC 28031-6582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ryan, Michael G can be contacted via phone (704) 384-1775.Contact Information
Primary practice address
19485 Old Jetton Rd Suite 100
Cornelius NC 28031-6582
Phone: (704) 384-1775
Fax: (704) 384-1776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01023417 | Indiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200901870 | North Carolina |
Profile Details
| NPI number | 1386679496 |
|---|---|
| LBN Legal business name | Ryan, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 1st, 2010 - about 14 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 | 1386679496 | NPPES |
| Indiana | MEDICAID | 200307000A | |
| Indiana | Other | 000000067648 | |
| Indiana | Other | 4255189 | |
| Indiana | Other | 080162612 | |
| Indiana | Other | 415089P | |
| Indiana | MEDICAID | 64022296 |
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