Ridlen, Mark S
Ridlen, Mark S is an individual health care provider with primary practice located at 125 Metro Center Blvd Ste 2000 , Warwick RI 02886-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ridlen, Mark S can be contacted via phone (401) 432-2520.Contact Information
Primary practice address
125 Metro Center Blvd Ste 2000
Warwick RI 02886-1785
Phone: (401) 432-2520
Fax: (401) 453-8220
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 7132 | Rhode Island |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 154865 | Massachusetts |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD07132 | Rhode Island |
Profile Details
NPI number | 1245228121 |
---|---|
LBN Legal business name | Ridlen, Mark S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2005 |
Last updated | Mar 18th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245228121 | NPPES |
Other | 1600241 | UNITED HEALTH PLANS | |
Other | 7132 | UNITED HEALTH PLANS | |
Other | 007000613 | UNITED HEALTH PLANS | |
Other | 007132 | UNITED HEALTH PLANS | |
MEDICAID | 2013789 | UNITED HEALTH PLANS | |
Other | 7000613 | UNITED HEALTH PLANS | |
Other | 003117240 | UNITED HEALTH PLANS | |
Other | 007132 | UNITED HEALTH PLANS | |
Other | 240156 | UNITED HEALTH PLANS | |
Other | 000000001988 | UNITED HEALTH PLANS | |
Other | 004372 | UNITED HEALTH PLANS | |
Other | 300067430 | UNITED HEALTH PLANS | |
Other | 240156 | UNITED HEALTH PLANS | |
Other | 720051701 | UNITED HEALTH PLANS |
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