Stolworthy, Ryan J

Stolworthy, Ryan J is an individual health care provider with primary practice located at 1400 N 500 E , Logan UT 84341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Stolworthy, Ryan J can be contacted via phone (435) 716-1000.

Contact Information

Primary practice address
1400 N 500 E Logan UT 84341
Phone: (435) 716-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5110139 Utah

Profile Details

NPI number 1417981234
LBN Legal business name Stolworthy, Ryan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 15th, 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 1417981234 NPPES
Utah MEDICAID D4636
Utah Other P00000456
Utah Other 51101391200001

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