Ridenhour, Rebecca Brazell

Ridenhour, Rebecca Brazell is an individual health care provider with primary practice located at 2728 Sunset Blvd Ste 201 , West Columbia SC 29169-4837. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ridenhour, Rebecca Brazell can be contacted via phone (803) 254-1300.

Contact Information

Primary practice address
2728 Sunset Blvd Ste 201 West Columbia SC 29169-4837
Phone: (803) 254-1300
Fax: (803) 771-7579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 30670 South Carolina

Profile Details

NPI number 1073705612
LBN Legal business name Ridenhour, Rebecca Brazell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Nov 11th, 2020 - about 4 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 1073705612 NPPES
South Carolina MEDICAID 306706

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