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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RYAN E PARNHAM, NP-C
530 NE GLEN OAK AVE
SUITE 108
PEORIA, IL61537-3167
 Phone: 309-624-8818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RYAN E PARNHAM · (Male)

NPI Number 1003015447
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 07/16/2007
Last updated 03/17/2009 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209006653
  • IL Other 809840 MEDICARE GROUP NUMBER
Hospital affiliation(s) Not Available
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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