Individual
RYAN CHRISTOPHER JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, EMT-B
Contact information
Practice address
N1457 HILLSIDE RD, LAKE GENEVA, WI 53147-4235
(262) 248-4103
Mailing address
1028 S LAKE SHORE DR, LAKE GENEVA, WI 53147-2235
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
70108769
WI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us