Riedel, Philip Alan

Riedel, Philip Alan is an individual health care provider with primary practice located at 1101 26Th St S , Great Falls MT 59405-5161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Riedel, Philip Alan can be contacted via phone (406) 455-5000.

Contact Information

Primary practice address
1101 26Th St S Great Falls MT 59405-5161
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11812 Montana
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 11812 Montana

Profile Details

NPI number 1679523427
LBN Legal business name Riedel, Philip Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated May 27th, 2009 - about 16 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 1679523427 NPPES
Montana Other 000094258 PR-BCBS
Montana MEDICAID 1679523427 PR-BCBS

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