Rideout, Dortha Mae

Rideout, Dortha Mae is an sole proprietor health care provider with primary practice located at 2649 Palmer Dr , Gulfport MS 39507-2846. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Rideout, Dortha Mae can be contacted via phone (228) 731-3257.

Contact Information

Primary practice address
2649 Palmer Dr Gulfport MS 39507-2846
Phone: (228) 731-3257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1194231399
LBN Legal business name Rideout, Dortha Mae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2017
Last updated Dec 26th, 2017 - about 7 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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