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NPI Lookup from the NPI Registry — National Provider Identifier Database

RYAN D HART, PA-C – NPI #1558676924
Medical


Contact Information

RYAN D HART, PA-C
1000 BLYTHE BLVD
CHARLOTTE, NC28203-5812
 Phone: 704-355-2171
 Fax: 704-355-5736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty
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NPI Profile & details for RYAN D HART · (Male)

NPI Number 1558676924
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/10/2010
Last updated 06/06/2014 - About 8 months ago
Sole proprietor 1 No
Identifiers
FL License # PA9105560
NC License # 0010-03950
NC Medicaid 1558676924
SC Medicaid 1643PA
FL Medicare PIN DO332Z
NC Medicare PIN NCC586
NC Medicare PIN NCC586A
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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