Riddle, Mark A
Riddle, Mark A is an sole proprietor health care provider with primary practice located at 5500 Knoll North Dr Ste 370 , Columbia MD 21045-2393. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Riddle, Mark A can be contacted via phone (410) 837-2050.Contact Information
Primary practice address
5500 Knoll North Dr Ste 370
Columbia MD 21045-2393
Phone: (410) 837-2050
Fax: (866) 629-0091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | D0045696 | Maryland |
Profile Details
NPI number | 1316989304 |
---|---|
LBN Legal business name | Riddle, Mark A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 12th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316989304 | NPPES |
Maryland | MEDICAID | 162501200 |
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