Rider, James E

Rider, James E is an individual health care provider with primary practice located at 744 S Webster Ave 2 Floor, Green Bay WI 54301-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Rider, James E can be contacted via phone (920) 433-3640.

Contact Information

Primary practice address
744 S Webster Ave 2 Floor Green Bay WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44251 Minnesota
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 50202-20 Wisconsin

Profile Details

NPI number 1568525988
LBN Legal business name Rider, James E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 13th, 2014 - about 10 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 1568525988 NPPES
Michigan MEDICAID 105189687
Michigan MEDICAID 34191300
Michigan Other 0B10043

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