Riddick, Robert Steven

Riddick, Robert Steven is an individual health care provider with primary practice located at 30 7Th St W , Dickinson ND 58601-4335. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Riddick, Robert Steven can be contacted via phone (701) 456-4387.

Contact Information

Primary practice address
30 7Th St W Dickinson ND 58601-4335
Phone: (701) 456-4387
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12077 North Dakota
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 12077 North Dakota

Profile Details

NPI number 1093711871
LBN Legal business name Riddick, Robert Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2005
Last updated Nov 8th, 2013 - 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 1093711871 NPPES
North Dakota MEDICAID 545777844A
North Dakota Other 12077

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