Ryan, Michael J
Ryan, Michael J is an individual health care provider with primary practice located at 1428 Phillips Ln Ste 203 , San Luis Obispo CA 93401-2551. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ryan, Michael J can be contacted via phone (805) 543-4407.Contact Information
Primary practice address
1428 Phillips Ln Ste 203
San Luis Obispo CA 93401-2551
Phone: (805) 543-4407
Fax: (805) 543-4587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A86911 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A86911 | California |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A86911 | California |
Profile Details
| NPI number | 1700863511 |
|---|---|
| LBN Legal business name | Ryan, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Nov 3rd, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700863511 | NPPES |
| Virginia | MEDICAID | 1700863511 | |
| Virginia | Other | PAR | |
| Virginia | Other | -029 | |
| Virginia | Other | PAR | |
| Virginia | Other | PAR | |
| Virginia | Other | 7221858 | |
| Virginia | Other | PAR | |
| Virginia | Other | PAR | |
| Virginia | Other | 2174181 | |
| Virginia | MEDICAID | WA86911A | |
| Virginia | MEDICAID | 5908329 | |
| Virginia | Other | 6125139 | |
| Virginia | Other | 08329 | |
| Virginia | Other | 10025471 | |
| Virginia | Other | 342182 | |
| Virginia | Other | 7221858 | |
| Virginia | Other | PAR |
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