Riddle, Bruce W

Riddle, Bruce W is an individual health care provider with primary practice located at 2326 18Th St Ste 210, Columbus IN 47201-5359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Riddle, Bruce W can be contacted via phone (812) 372-8426.

Contact Information

Primary practice address
2326 18Th St Ste 210 Columbus IN 47201-5359
Phone: (812) 372-8426
Fax: (812) 372-8301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01044582A Indiana

Profile Details

NPI number 1932136744
LBN Legal business name Riddle, Bruce W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 6th, 2014 - about 10 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 1932136744 NPPES
Other 054468P SIHO
MEDICAID 200056040 SIHO
Other 1790837789 SIHO
Other 00000056040 SIHO
Other P00137831 SIHO

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