Ryan, Timothy J
Ryan, Timothy J is an individual health care provider with primary practice located at 2303 S Highway 65 , Marshall MO 65340-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ryan, Timothy J can be contacted via phone (660) 886-3364.Contact Information
Primary practice address
2303 S Highway 65
Marshall MO 65340-3702
Phone: (660) 886-3364
Fax: (660) 886-6044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 102684 | Missouri |
Profile Details
| NPI number | 1790721520 |
|---|---|
| LBN Legal business name | Ryan, Timothy J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 7th, 2024 - about 6 months 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 | 1790721520 | NPPES |
| Missouri | MEDICAID | 246948509 |
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