Rider, Jane
Rider, Jane is an individual health care provider with primary practice located at 2141 Hamilton Way Ste. 100, San Angelo TX 76904-6433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rider, Jane can be contacted via phone (325) 245-4000.Contact Information
Primary practice address
2141 Hamilton Way Ste. 100
San Angelo TX 76904-6433
Phone: (325) 245-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G1250 | Texas |
Profile Details
| NPI number | 1275596843 |
|---|---|
| LBN Legal business name | Rider, Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Sep 10th, 2012 - about 14 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 | 1275596843 | NPPES |
| Texas | Other | 8K1648 | BLUE CROSS |
| Texas | MEDICAID | 128594207 | BLUE CROSS |
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