Riggenbach, Charles Mark

Riggenbach, Charles Mark is an individual health care provider with primary practice located at 1032 Mar Walt Drive, Suite 210 Gastroenterology Department, Fort Walton Beach FL 32547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Riggenbach, Charles Mark can be contacted via phone (850) 863-8260.

Contact Information

Primary practice address
1032 Mar Walt Drive, Suite 210 Gastroenterology Department Fort Walton Beach FL 32547
Phone: (850) 863-8260
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME62399 Florida

Profile Details

NPI number 1346225240
LBN Legal business name Riggenbach, Charles Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 20th, 2017 - about 9 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 1346225240 NPPES
Florida MEDICAID 370740700
Florida Other 15129

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