Riddle, Elijah Wade
Riddle, Elijah Wade is an individual health care provider with primary practice located at 735 Norman Dr Ste 3 , Lebanon PA 17042-7559. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Riddle, Elijah Wade can be contacted via phone (717) 270-7908.Contact Information
Primary practice address
735 Norman Dr Ste 3
Lebanon PA 17042-7559
Phone: (717) 270-7908
Fax: (717) 272-1734
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT201557 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MD454180 | Pennsylvania |
Profile Details
| NPI number | 1609136993 |
|---|---|
| LBN Legal business name | Riddle, Elijah Wade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Sep 19th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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