Ridel, Keith R

Ridel, Keith R is an individual health care provider with primary practice located at 7250 Clearvista Dr Ste 225 , Indianapolis IN 46256-5626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Ridel, Keith R can be contacted via phone (317) 537-6088.

Contact Information

Primary practice address
7250 Clearvista Dr Ste 225 Indianapolis IN 46256-5626
Phone: (317) 537-6088
Fax: (317) 537-6092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 01067562A Indiana

Profile Details

NPI number 1053528935
LBN Legal business name Ridel, Keith R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Feb 10th, 2023 - about last year

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 1053528935 NPPES
Indiana MEDICAID 200978240

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