Riddle, Mark A

Riddle, Mark A is an sole proprietor health care provider with primary practice located at 5500 Knoll North Dr Ste 370 , Columbia MD 21045-2393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Riddle, Mark A can be contacted via phone (410) 837-2050.

Contact Information

Primary practice address
5500 Knoll North Dr Ste 370 Columbia MD 21045-2393
Phone: (410) 837-2050
Fax: (866) 629-0091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X D0045696 Maryland

Profile Details

NPI number 1316989304
LBN Legal business name Riddle, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316989304 NPPES
Maryland MEDICAID 162501200

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