National Provider Identifier Database

RYAN K AVERETT, DPM – NPI #1629065610
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

RYAN K AVERETT, DPM
2221 N IRONWOOD CENTER DR
COEUR D'ALENE, ID83814-2697
Phone: 208-667-3585
Fax: 855-864-8364
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for RYAN K AVERETT

NPI Number 1629065610
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/04/2005
Last updated 04/22/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: P177
  • ID Medicaid: 806936200
  • Other: P2451 BLUE CROSS OF IDAHO
  • ID Other: 1351085 MEDICARE
  • ID Other: 000010147409 REGENCE BLUE SHIELD
Hospital affiliation 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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