Ryave, Jaclyn Nicole

Ryave, Jaclyn Nicole is an individual health care provider with primary practice located at 1397 S Loop Rd , Pahrump NV 89048-4729. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ryave, Jaclyn Nicole can be contacted via phone (775) 727-5500.

Contact Information

Primary practice address
1397 S Loop Rd Pahrump NV 89048-4729
Phone: (775) 727-5500
Fax: (775) 727-5696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X SL1362 Nevada
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO2920 Nevada

Profile Details

NPI number 1518462746
LBN Legal business name Ryave, Jaclyn Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2018
Last updated Mar 7th, 2023 - about 2 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 1518462746 NPPES
Nevada MEDICAID 1518462746
Nevada Other DO2920
Nevada Other SL1362

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