Rieck, Nathan Edward

Rieck, Nathan Edward is an sole proprietor health care provider with primary practice located at 7686 W Ridge Rd , Fairview PA 16415-1074. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rieck, Nathan Edward can be contacted via phone (814) 474-5022.

Contact Information

Primary practice address
7686 W Ridge Rd Fairview PA 16415-1074
Fax: (814) 474-5022
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS041333 Pennsylvania

Profile Details

NPI number 1437609260
LBN Legal business name Rieck, Nathan Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2016
Last updated Jun 11th, 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 1437609260 NPPES
Pennsylvania MEDICAID 1437609260

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