Ryder, Dana Victoria

Ryder, Dana Victoria is an sole proprietor health care provider with primary practice located at 2801 Hidden Forest Ct Se , Atlanta GA 30316-4215. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Ryder, Dana Victoria can be contacted via phone (678) 914-4858.

Contact Information

Primary practice address
2801 Hidden Forest Ct Se Atlanta GA 30316-4215
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X CN0028867094 Georgia

Profile Details

NPI number 1669984571
LBN Legal business name Ryder, Dana Victoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - 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 1669984571 NPPES
Georgia MEDICAID 1
Georgia MEDICAID 2

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