Ryan, Thomas P

Ryan, Thomas P is an individual health care provider with primary practice located at 2622 Lake Ave , Fort Wayne IN 46805-5410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ryan, Thomas P can be contacted via phone (260) 425-3100.

Contact Information

Primary practice address
2622 Lake Ave Fort Wayne IN 46805-5410
Phone: (260) 425-3100
Fax: (260) 425-3604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 02001220A Indiana

Profile Details

NPI number 1275507055
LBN Legal business name Ryan, Thomas P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Mar 13th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275507055 NPPES
Indiana MEDICAID 100330950

Popular Providers