Ervin, William Rydale

Ervin, William Rydale is an individual health care provider with primary practice located at 24424 W Mcnichols Rd , Detroit MI 48219-3653. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Ervin, William Rydale can be contacted via phone (313) 531-2500.

Contact Information

Primary practice address
24424 W Mcnichols Rd Detroit MI 48219-3653
Phone: (313) 531-2500
Fax: (313) 255-3465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1447590971
LBN Legal business name Ervin, William Rydale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated Feb 2nd, 2022 - about 3 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 1447590971 NPPES
Michigan MEDICAID 381917278

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