Ryckman, Stewart Douglas

Ryckman, Stewart Douglas is an sole proprietor health care provider with primary practice located at 1468 Brookpark Dr , Mansfield OH 44906-3504. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Ryckman, Stewart Douglas can be contacted via phone (419) 756-5750.

Contact Information

Primary practice address
1468 Brookpark Dr Mansfield OH 44906-3504
Phone: (419) 756-5750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03-1-10948 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45953 Ohio

Profile Details

NPI number 1538379995
LBN Legal business name Ryckman, Stewart Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 9th, 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 1538379995 NPPES
Ohio MEDICAID 0452817

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