Rivera, Eduardo G

Rivera, Eduardo G is an sole proprietor health care provider with primary practice located at 122 Demaree Dr , Madison IN 47250-4622. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Rivera, Eduardo G can be contacted via phone (812) 265-9191.

Contact Information

Primary practice address
122 Demaree Dr Madison IN 47250-4622
Phone: (812) 265-9191
Fax: (812) 265-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 01050279 Indiana

Profile Details

NPI number 1457428096
LBN Legal business name Rivera, Eduardo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Dec 18th, 2009 - about 17 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 1457428096 NPPES
Indiana Other 065504 COLUMBUS SIHO ID
Indiana MEDICAID 50007573 COLUMBUS SIHO ID
Indiana Other 7514003 COLUMBUS SIHO ID
Indiana Other 000000368119 COLUMBUS SIHO ID
Indiana Other 20897 COLUMBUS SIHO ID

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