Ryan, Victoria Eleanor

Ryan, Victoria Eleanor is an individual health care provider with primary practice located at 990 Cesar Chavez Ave , Pocatello ID 83209-0001. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Ryan, Victoria Eleanor can be contacted via phone (208) 282-2330.

Contact Information

Primary practice address
990 Cesar Chavez Ave Pocatello ID 83209-0001
Phone: (208) 282-2330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X PA-626 Idaho

Profile Details

NPI number 1003980210
LBN Legal business name Ryan, Victoria Eleanor
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Sep 10th, 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.

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