Tiedeman, Ryan Douglas
Tiedeman, Ryan Douglas is an sole proprietor health care provider with primary practice located at 20901 State Route 410 E , Bonney Lake WA 98391-6302. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Tiedeman, Ryan Douglas can be contacted via phone (253) 891-7333.Contact Information
Primary practice address
20901 State Route 410 E
Bonney Lake WA 98391-6302
Phone: (253) 891-7333
Fax: (253) 891-7327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PH00021344 | Washington |
Profile Details
| NPI number | 1841400777 |
|---|---|
| LBN Legal business name | Tiedeman, Ryan Douglas |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 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.
Popular Providers
-
Hook, Stephanie G
21302 State Route 410 E , Bonney Lake WA 98391-8468 -
Nguyen, Tam Thien
19205 State Route 410 E , Bonney Lake WA 98391-6305 -
Clark, Christina Lynn
21301 State Route 410 E , Bonney Lake WA 98391-8468 -
Potter, Emily R
21302 State Route 410 E , Bonney Lake WA 98391-8468 -
Hayre, Nishy Kaur
21302 State Route 410 E , Bonney Lake WA 98391-8468 -
Timothy, Annie Quach
9400 192Nd Ave E , Bonney Lake WA 98391-8564 -
Nguyen, Jacqueline
20025 State Route 410 E , Bonney Lake WA 98391 -
Lagerstrom, Gary Michael
9230 Sky Island Drive East , Bonney Lake WA 98391-0000