Smith, Ryan Mark

Smith, Ryan Mark is an individual health care provider with primary practice located at 2705 E 17Th St , Ammon ID 83406-6601. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Smith, Ryan Mark can be contacted via phone (208) 346-7500.

Contact Information

Primary practice address
2705 E 17Th St Ammon ID 83406-6601
Phone: (208) 346-7500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-6566 Idaho
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1851679633
LBN Legal business name Smith, Ryan Mark
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2011
Last updated Mar 3rd, 2021 - about 4 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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