Provider Demographics
NPI:1861899742
Name:RYAN, PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:RYAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:RYAN
Other - Last Name:SWEIGERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:824 ZION ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2923
Mailing Address - Country:US
Mailing Address - Phone:530-264-7220
Mailing Address - Fax:530-572-1552
Practice Address - Street 1:824 ZION ST
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2923
Practice Address - Country:US
Practice Address - Phone:530-264-7220
Practice Address - Fax:530-572-1552
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5595111NS0005X
CA33125111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician