Redels, Sidney L

Redels, Sidney L is an individual health care provider with primary practice located at 1761 W Loop 281 , Longview TX 75604-2734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Redels, Sidney L can be contacted via phone (903) 297-1733.

Contact Information

Primary practice address
1761 W Loop 281 Longview TX 75604-2734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X F4416 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F4416 Texas

Profile Details

NPI number 1679562615
LBN Legal business name Redels, Sidney L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Apr 10th, 2024 - about 8 months 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 1679562615 NPPES
Texas MEDICAID 139034615

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