Rider, John A

Rider, John A is an individual health care provider with primary practice located at 7033 Saint Andrews Rd , Columbia SC 29212-1179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rider, John A can be contacted via phone (803) 376-2838.

Contact Information

Primary practice address
7033 Saint Andrews Rd Columbia SC 29212-1179
Phone: (803) 376-2838
Fax: (803) 407-1386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7395 South Carolina

Profile Details

NPI number 1073585204
LBN Legal business name Rider, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 13th, 2011 - about 15 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 1073585204 NPPES
South Carolina MEDICAID 073958

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