Ridings, Larry W

Ridings, Larry W is an individual health care provider with primary practice located at 14607 W 49Th St , Shawnee KS 66216-5162. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ridings, Larry W can be contacted via phone (734) 213-3931.

Contact Information

Primary practice address
14607 W 49Th St Shawnee KS 66216-5162
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 04-29139 Kansas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 04-29139 Kansas

Profile Details

NPI number 1588761498
LBN Legal business name Ridings, Larry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 17th, 2013 - about 11 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 1588761498 NPPES
Missouri MEDICAID 205320609
Missouri MEDICAID 100389870A
Missouri Other 130023466
Missouri Other 28659021
Missouri Other 399330

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