Provider Demographics
NPI:1861671786
Name:GILROY, RYAN R (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:R
Last Name:GILROY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 LINDEN STREET
Mailing Address - Street 2:UNIT 2
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-4806
Mailing Address - Country:US
Mailing Address - Phone:570-401-6306
Mailing Address - Fax:
Practice Address - Street 1:2223 LINDEN STREET
Practice Address - Street 2:UNIT 2
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4806
Practice Address - Country:US
Practice Address - Phone:570-401-6306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor