Individual
DR. JACQUES S VAN RYN
Active
Individual
DR. JACQUES S VAN RYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R4G45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000603706
BLUE CROSS BLUE SHIELD
MO
01
—
101252
HEALTHLINK
MO
01
—
116020001
MEDICARE
MO
01
—
4048872
AETNA
MO
01
—
475415
GROUP HEALTH PLAN
MO
01
—
P00727699
MEDICARE RAILROAD
MO
Enumeration date
02/08/2006
Last updated
03/12/2020
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