Individual
RYAN COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 CUMBERLAND AVE STE 225, WEST LAFAYETTE, IN 47906-1343
(866) 672-4764
Mailing address
1305 CUMBERLAND AVE STE 225, WEST LAFAYETTE, IN 47906-1343
(866) 672-4764
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
IN
Enumeration date
09/14/2021
Last updated
09/14/2021
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