Ryan, Rebecca H

Ryan, Rebecca H is an individual health care provider with primary practice located at Route 301 N 21 B Ave , Zuni NM 87327-0467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ryan, Rebecca H can be contacted via phone (505) 782-4431.

Contact Information

Primary practice address
Route 301 N 21 B Ave Zuni NM 87327-0467
Fax: (505) 782-4502
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2012-0740 New Mexico

Profile Details

NPI number 1194040022
LBN Legal business name Ryan, Rebecca H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2010
Last updated Feb 4th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194040022 NPPES
New Mexico MEDICAID 35552336

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