Ryan, Peggy A
Ryan, Peggy A is an individual health care provider with primary practice located at 3512 Stellhorn Rd , Fort Wayne IN 46815-4631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ryan, Peggy A can be contacted via phone (260) 483-9081.Contact Information
Primary practice address
3512 Stellhorn Rd
Fort Wayne IN 46815-4631
Phone: (260) 483-9081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71000242A | Indiana |
Profile Details
| NPI number | 1962490839 |
|---|---|
| LBN Legal business name | Ryan, Peggy A |
| Credentials | APRN,BC,ANP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | May 3rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962490839 | NPPES |
| Indiana | Other | 28068822A | RN |
| Indiana | Other | 71000242B | RN |
| Indiana | Other | 71000242A | RN |
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