Ryan, Michael Joseph

Ryan, Michael Joseph is an individual health care provider with primary practice located at 8310 Medical Plaza Dr , Charlotte NC 28262-6701. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Ryan, Michael Joseph can be contacted via phone (704) 548-0222.

Contact Information

Primary practice address
8310 Medical Plaza Dr Charlotte NC 28262-6701
Fax: (704) 548-1157
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 284 North Carolina

Profile Details

NPI number 1972549186
LBN Legal business name Ryan, Michael Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972549186 NPPES
North Carolina MEDICAID 890807F

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