Wallace, Ryan R

Wallace, Ryan R is an sole proprietor health care provider with primary practice located at 101 W 1St Ave , Cheyenne WY 82001-1330. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wallace, Ryan R can be contacted via phone (970) 391-1886.

Contact Information

Primary practice address
101 W 1St Ave Cheyenne WY 82001-1330
Phone: (970) 391-1886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1285070326
LBN Legal business name Wallace, Ryan R
Credentials CFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2013
Last updated Sep 11th, 2023 - about 2 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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