Rider, Ryan Kevin

Rider, Ryan Kevin is an individual health care provider with primary practice located at 800 N Fant St , Anderson SC 29621-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rider, Ryan Kevin can be contacted via phone (864) 512-1335.

Contact Information

Primary practice address
800 N Fant St Anderson SC 29621-5708
Fax: (864) 512-8575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19706 South Carolina

Profile Details

NPI number 1659337525
LBN Legal business name Rider, Ryan Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 10th, 2020 - about 4 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 1659337525 NPPES
South Carolina MEDICAID T37332
South Carolina MEDICAID 595784016A
South Carolina Other P00177247
South Carolina MEDICAID 5901116

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