Ryerson, Eugene Grove

Ryerson, Eugene Grove is an individual health care provider with primary practice located at 1115 West Call Street Florida State University College Of Medicine, Tallahassee FL 32306-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ryerson, Eugene Grove can be contacted via phone (850) 644-2358.

Contact Information

Primary practice address
1115 West Call Street Florida State University College Of Medicine Tallahassee FL 32306-4300
Fax: (850) 644-0158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME20398 Florida

Profile Details

NPI number 1124232723
LBN Legal business name Ryerson, Eugene Grove
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 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 1124232723 NPPES
Florida MEDICAID 56759-1

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