Riley, David E

Riley, David E is an sole proprietor health care provider with primary practice located at 23905 Mercantile Rd , Beachwood OH 44122-5925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Riley, David E can be contacted via phone (216) 200-3897.

Contact Information

Primary practice address
23905 Mercantile Rd Beachwood OH 44122-5925
Phone: (216) 200-3897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35-052141 Ohio

Profile Details

NPI number 1568481976
LBN Legal business name Riley, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jan 18th, 2021 - about 4 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 1568481976 NPPES
Other 130017943 MCR RR
Other 000000510683 MCR RR
MEDICAID 0771991 MCR RR
Other 363955 MCR RR
Other P00398388 MCR RR
Other 0964458 MCR RR
Other 741879 MCR RR
Other 000000221245 MCR RR

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