Ridout, Daniel Lyman

Ridout, Daniel Lyman is an individual health care provider with primary practice located at 350 W Country Club Rd Suite #105, Roswell NM 88201-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ridout, Daniel Lyman can be contacted via phone (575) 624-4651.

Contact Information

Primary practice address
350 W Country Club Rd Suite #105 Roswell NM 88201-5205
Phone: (575) 624-4651
Fax: (575) 624-4875
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101237677 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD2015-0106 New Mexico

Profile Details

NPI number 1265427504
LBN Legal business name Ridout, Daniel Lyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Sep 15th, 2020 - about 6 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 1265427504 NPPES
New Mexico Other NPI & TIN BLUE CROSS BLUE SHIELD OF NM

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