Rideout, David

Rideout, David is an individual health care provider with primary practice located at 400 East 3Rd Street , Duluth MN 55805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rideout, David can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 East 3Rd Street Duluth MN 55805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36567 Iowa

Profile Details

NPI number 1467404632
LBN Legal business name Rideout, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 27th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467404632 NPPES
Iowa Other 11430 WELLMARK BCBS
Iowa MEDICAID 0492470 WELLMARK BCBS

Popular Providers