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Contact Information

JACOB RYAN, M.S. ATC
521 LANCASTER AVENUE
115 ALUMNI COLISEUM
RICHMOND, KY40475
 Phone: 859-622-8174
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JACOB RYAN · (Male)

NPI Number 1093146250
Status Active
Credentials M.S. ATC
Entity Individual
Enumeration date 12/12/2013
Last updated 12/12/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KY License # AT495
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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