Rider, Keaton James
Rider, Keaton James is an sole proprietor health care provider with primary practice located at 104 W D.L. Ingram Ave , Cannon Afb NM 88101. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Rider, Keaton James can be contacted via phone (575) 784-2778.Contact Information
Primary practice address
104 W D.L. Ingram Ave
Cannon Afb NM 88101
Phone: (575) 784-2778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X | L5ALJ4N051C00AB | Texas |
Profile Details
| NPI number | 1083369938 |
|---|---|
| LBN Legal business name | Rider, Keaton James |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2022 |
| Last updated | Aug 2nd, 2022 - about 2 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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