Rider, Eve M

Rider, Eve M is an sole proprietor health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Rider, Eve M can be contacted via phone (407) 975-0406.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (407) 975-0406
Fax: (407) 975-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101012030 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS17094 Florida

Profile Details

NPI number 1194793646
LBN Legal business name Rider, Eve M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated Jan 7th, 2021 - about 5 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 1194793646 NPPES
Michigan Other 383445481 TAX ID
Michigan MEDICAID 4640259 TAX ID
Michigan Other 160B41011 TAX ID

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