Riddel, James Philip

Riddel, James Philip is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Riddel, James Philip can be contacted via phone (510) 428-3853.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3853
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN478430 NP9272 California

Profile Details

NPI number 1942200928
LBN Legal business name Riddel, James Philip
Credentials RN, MS, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 8th, 2007 - about 18 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 1942200928 NPPES
California Other NP0092720 MEDI-CAL PROVIDER

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