Thoreson, Ryan J
Thoreson, Ryan J is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thoreson, Ryan J can be contacted via phone (641) 628-3832.Contact Information
Primary practice address
405 Monroe St
Pella IA 50219-1189
Phone: (641) 628-3832
Fax: (641) 628-8894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3379 | Iowa |
Profile Details
| NPI number | 1720090327 |
|---|---|
| LBN Legal business name | Thoreson, Ryan J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720090327 | NPPES |
| Iowa | Other | 35014 | WELLMARK |
| Iowa | MEDICAID | 0739201 | WELLMARK |
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