Rider-Hildreth, Leann M
Rider-Hildreth, Leann M is an individual health care provider with primary practice located at Genesis Mental Health Assoc 1218 Central Ave, Fort Dodge IA 50501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rider-Hildreth, Leann M can be contacted via phone (514) 571-4422.Contact Information
Primary practice address
Genesis Mental Health Assoc 1218 Central Ave
Fort Dodge IA 50501
Phone: (514) 571-4422
Fax: (515) 576-6441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 01155 | Iowa |
Profile Details
| NPI number | 1245298116 |
|---|---|
| LBN Legal business name | Rider-Hildreth, Leann M |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Feb 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245298116 | NPPES |
| Iowa | MEDICAID | 0426189 | |
| Iowa | Other | 40679 |
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