Rider, Paul S

Rider, Paul S is an individual health care provider with primary practice located at 1434 Chester Blvd , Richmond IN 47374-1947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rider, Paul S can be contacted via phone (765) 966-5527.

Contact Information

Primary practice address
1434 Chester Blvd Richmond IN 47374-1947
Fax: (765) 966-5527
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01023981A Indiana

Profile Details

NPI number 1659305043
LBN Legal business name Rider, Paul S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659305043 NPPES
Indiana Other 100256020 MANAGED HEALTH SERVICES
Indiana MEDICAID 100256020 MANAGED HEALTH SERVICES
Indiana Other 00000082699 MANAGED HEALTH SERVICES
Indiana MEDICAID 0651816 MANAGED HEALTH SERVICES
Indiana Other 351265355 MANAGED HEALTH SERVICES

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