Ridenour, Evan Lewis
Ridenour, Evan Lewis is an individual health care provider with primary practice located at 472 Polaris St Bldg 586 , Virginia Beach VA 23461-1935. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Ridenour, Evan Lewis can be contacted via phone (757) 862-2745.Contact Information
Primary practice address
472 Polaris St Bldg 586
Virginia Beach VA 23461-1935
Phone: (757) 862-2745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1477164143 |
|---|---|
| LBN Legal business name | Ridenour, Evan Lewis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2020 |
| Last updated | Jun 8th, 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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