Provider Demographics
NPI:1598965337
Name:RYAN, JAMES JEROME VIII
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JEROME
Last Name:RYAN
Suffix:VIII
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 1:319 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1947
Mailing Address - Country:US
Mailing Address - Phone:513-932-3898
Mailing Address - Fax:
Practice Address - Street 1:319 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-1947
Practice Address - Country:US
Practice Address - Phone:513-932-3898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN277540163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse