Riddell, Carl Michael

Riddell, Carl Michael is an individual health care provider with primary practice located at 5800 W 10Th St Ste.401, Little Rock AR 72204-1752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Riddell, Carl Michael can be contacted via phone (501) 661-2480.

Contact Information

Primary practice address
5800 W 10Th St Ste.401 Little Rock AR 72204-1752
Phone: (501) 661-2480
Fax: (501) 661-2464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X C-5991 Arkansas

Profile Details

NPI number 1497966808
LBN Legal business name Riddell, Carl Michael
Credentials M.D., F.A.C.O.G.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jan 29th, 2014 - about 11 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 1497966808 NPPES
Arkansas MEDICAID 110831001

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