Provider Demographics
NPI:1982653465
Name:MAY, RYAN LAURENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:LAURENCE
Last Name:MAY
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 1:128 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06118-3211
Mailing Address - Country:US
Mailing Address - Phone:860-568-3900
Mailing Address - Fax:860-568-6461
Practice Address - Street 1:128 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06118-3211
Practice Address - Country:US
Practice Address - Phone:860-568-3900
Practice Address - Fax:860-568-6461
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001580111N00000X
MA2703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00424372100OtherBLUE CARE FAMILY PLAN
CT666920OtherUNITED HEALTHCARE
CTP3517307OtherOXFORD HEALTH PLAN
CT050001580CT01OtherBCBS
CT1230650OtherCIGNA
CT9397611OtherPHCS
CT1051867OtherASHN
CT108351OtherHEALTHPARTNERS
CT3686619OtherAETNA
CT001580OtherLANDMARK HEALTHNET
CT4243721Medicaid
CT350001316Medicare ID - Type UnspecifiedMEDICARE NUMBER