Vandervest, Ryan Edward

Vandervest, Ryan Edward is an individual health care provider with primary practice located at 760 Pilgrim Way , Green Bay WI 54304-5263. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Vandervest, Ryan Edward can be contacted via phone (920) 496-4750.

Contact Information

Primary practice address
760 Pilgrim Way Green Bay WI 54304-5263
Phone: (920) 496-4750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 626-039 Wisconsin

Profile Details

NPI number 1285609941
LBN Legal business name Vandervest, Ryan Edward
Credentials MS, LAT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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