Ryan, Thomas E

Ryan, Thomas E is an individual health care provider with primary practice located at 11125 Dunn Rd Suite 100, Saint Louis MO 63136-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ryan, Thomas E can be contacted via phone (314) 355-5597.

Contact Information

Primary practice address
11125 Dunn Rd Suite 100 Saint Louis MO 63136-6132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R1A86 Missouri

Profile Details

NPI number 1518993351
LBN Legal business name Ryan, Thomas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1518993351 NPPES
Missouri Other 3600007 UNITEDHEALTHCARE
Missouri Other 17379 UNITEDHEALTHCARE
Missouri MEDICAID 201712403 UNITEDHEALTHCARE

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