Ryden, John Michael
Ryden, John Michael is an individual health care provider with primary practice located at 8373 Unity Dr , Virginia MN 55792-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ryden, John Michael can be contacted via phone (218) 748-7480.Contact Information
Primary practice address
8373 Unity Dr
Virginia MN 55792-4005
Phone: (218) 748-7480
Fax: (218) 748-7488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 40514 | Minnesota |
Profile Details
NPI number | 1578589255 |
---|---|
LBN Legal business name | Ryden, John Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2006 |
Last updated | Dec 4th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578589255 | NPPES |
Minnesota | MEDICAID | 361714900 |
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