Riddick, Daniel H

Riddick, Daniel H is an individual health care provider with primary practice located at 111 Colchester Ave Fahc, Mp4, Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Riddick, Daniel H can be contacted via phone (802) 847-1400.

Contact Information

Primary practice address
111 Colchester Ave Fahc, Mp4 Burlington VT 05401-1473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042-0007329 Vermont
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 042-0007329 Vermont

Profile Details

NPI number 1679593941
LBN Legal business name Riddick, Daniel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1679593941 NPPES
New York Other 00916183 NEW YORK MEDICAID
New York MEDICAID 0002553 NEW YORK MEDICAID

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