Wilson, Ryan Hastiin
Wilson, Ryan Hastiin is an sole proprietor health care provider with primary practice located at 6810 Menaul Blvd Ne Ste B , Albuquerque NM 87110. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Wilson, Ryan Hastiin can be contacted via phone (505) 872-1100.Contact Information
Primary practice address
6810 Menaul Blvd Ne Ste B
Albuquerque NM 87110
Phone: (505) 872-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | DD3162 | New Mexico |
Profile Details
| NPI number | 1780811984 |
|---|---|
| LBN Legal business name | Wilson, Ryan Hastiin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Jul 6th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780811984 | NPPES |
| New Mexico | Other | 270372394 | ANOTHER BUSINESS |
| New Mexico | Other | 455369173 | ANOTHER BUSINESS |
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