Dodge, Riane

Dodge, Riane is an individual health care provider with primary practice located at 214 King St , Ogdensburg NY 13669-1142. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Dodge, Riane can be contacted via phone (315) 393-3600.

Contact Information

Primary practice address
214 King St Ogdensburg NY 13669-1142
Phone: (315) 393-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2136 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 018141 New York

Profile Details

NPI number 1467852160
LBN Legal business name Dodge, Riane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2014
Last updated Jun 25th, 2019 - 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 1467852160 NPPES
New York MEDICAID 04262240

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