Rider, Teresa L

Rider, Teresa L is an individual health care provider with primary practice located at 203 E Main St , Richmond IN 47374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rider, Teresa L can be contacted via phone (765) 973-9294.

Contact Information

Primary practice address
203 E Main St Richmond IN 47374
Phone: (765) 973-9294
Fax: (765) 973-9233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003919A Indiana

Profile Details

NPI number 1659645273
LBN Legal business name Rider, Teresa L
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2012
Last updated Apr 29th, 2024 - about 7 months 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 1659645273 NPPES
Indiana MEDICAID 201057160
Indiana Other 000000757297

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