Ridel, Keith R
Ridel, Keith R is an individual health care provider with primary practice located at 7250 Clearvista Dr Ste 225 , Indianapolis IN 46256-5626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Ridel, Keith R can be contacted via phone (317) 537-6088.Contact Information
Primary practice address
7250 Clearvista Dr Ste 225
Indianapolis IN 46256-5626
Phone: (317) 537-6088
Fax: (317) 537-6092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 01067562A | Indiana |
Profile Details
| NPI number | 1053528935 |
|---|---|
| LBN Legal business name | Ridel, Keith R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Feb 10th, 2023 - about 3 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 | 1053528935 | NPPES |
| Indiana | MEDICAID | 200978240 |
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