Riddle, Michael P
Riddle, Michael P is an individual health care provider with primary practice located at 2828 1St Ave Suite 400, Huntington WV 25702-1236. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Riddle, Michael P can be contacted via phone (304) 525-6905.Contact Information
Primary practice address
2828 1St Ave Suite 400
Huntington WV 25702-1236
Phone: (304) 525-6905
Fax: (304) 525-4316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 01076 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 01076 | West Virginia |
Profile Details
| NPI number | 1871534131 |
|---|---|
| LBN Legal business name | Riddle, Michael P |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 18th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871534131 | NPPES |
| West Virginia | Other | 1699732214 | GROUP NPI |
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