Williamson, Ryan Casey

Williamson, Ryan Casey is an individual health care provider with primary practice located at 304 W Hay St Suite 218, Decatur IL 62526-6328. 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. Williamson, Ryan Casey can be contacted via phone (217) 877-2088.

Contact Information

Primary practice address
304 W Hay St Suite 218 Decatur IL 62526-6328
Phone: (217) 877-2088
Fax: (217) 877-3622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.002425 Illinois

Profile Details

NPI number 1881901593
LBN Legal business name Williamson, Ryan Casey
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2010
Last updated Sep 2nd, 2010 - about 15 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 1881901593 NPPES
Illinois Other 1902989379 NPI

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