Provider Demographics
NPI:1235995200
Name:HAMRICK, RYAN ROBERT
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ROBERT
Last Name:HAMRICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:WASHBURN
Mailing Address - State:ND
Mailing Address - Zip Code:58577-4345
Mailing Address - Country:US
Mailing Address - Phone:701-531-1819
Mailing Address - Fax:
Practice Address - Street 1:622 4TH AVE
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:ND
Practice Address - Zip Code:58577-4345
Practice Address - Country:US
Practice Address - Phone:701-531-1819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist