Ryan, Michelle L

Ryan, Michelle L is an sole proprietor health care provider with primary practice located at 2554 State Route 9 , Ballston Spa NY 12020-6312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ryan, Michelle L can be contacted via phone (518) 899-5002.

Contact Information

Primary practice address
2554 State Route 9 Ballston Spa NY 12020-6312
Phone: (518) 899-5002
Fax: (518) 899-5840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333007 New York

Profile Details

NPI number 1144316662
LBN Legal business name Ryan, Michelle L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jun 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144316662 NPPES
New York Other 120114000027 FIDELIS CARE NY
New York MEDICAID 02328518 FIDELIS CARE NY
New York Other 307847 FIDELIS CARE NY
New York Other 2296458 FIDELIS CARE NY
New York Other 661084 FIDELIS CARE NY

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