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
Phone: (765) 966-5527
Fax: (765) 966-5527
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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