Riley, Edward

Riley, Edward is an individual health care provider with primary practice located at 2520 5Th St N , Columbus MS 39705-2008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Riley, Edward can be contacted via phone (904) 805-1300.

Contact Information

Primary practice address
2520 5Th St N Columbus MS 39705-2008
Phone: (904) 805-1300
Fax: (904) 805-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10465 Mississippi

Profile Details

NPI number 1255379350
LBN Legal business name Riley, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 29th, 2008 - about 18 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 1255379350 NPPES
Mississippi Other 009972530 ALABAMA MEDICAID
Mississippi Other 562251777 ALABAMA MEDICAID
Mississippi MEDICAID 00118034 ALABAMA MEDICAID

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