Ryder, Richard A

Ryder, Richard A is an individual health care provider with primary practice located at 220 J.L. White Drive Suite 100, Jasper GA 30143-4894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ryder, Richard A can be contacted via phone (706) 636-6500.

Contact Information

Primary practice address
220 J.L. White Drive Suite 100 Jasper GA 30143-4894
Phone: (706) 636-6500
Fax: (706) 636-6502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 119559 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 068550 Georgia

Profile Details

NPI number 1588616510
LBN Legal business name Ryder, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 30th, 2020 - about 6 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 1588616510 NPPES
New York MEDICAID 00586567
New York MEDICAID 003128026A

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