Provider Demographics
NPI:1275321010
Name:COMBS, RYAN MICHOL
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:MICHOL
Last Name:COMBS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4696 BUNNELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-9047
Mailing Address - Country:US
Mailing Address - Phone:937-416-6666
Mailing Address - Fax:
Practice Address - Street 1:4696 BUNNELL HILL RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9047
Practice Address - Country:US
Practice Address - Phone:937-416-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health