Wilson, Ryan Guy

Wilson, Ryan Guy is an individual health care provider with primary practice located at 750 N Syringa St Ste 100 , Post Falls ID 83854-5275. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wilson, Ryan Guy can be contacted via phone (208) 262-2600.

Contact Information

Primary practice address
750 N Syringa St Ste 100 Post Falls ID 83854-5275
Phone: (208) 262-2600
Fax: (208) 262-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-769 Idaho

Profile Details

NPI number 1417109695
LBN Legal business name Wilson, Ryan Guy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Jun 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417109695 NPPES
Idaho MEDICAID 1417109695

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