Riedel, Robert G.

Riedel, Robert G. is an sole proprietor health care provider with primary practice located at 7830 Belmont Dr , Lake Worth FL 33467-7828. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Riedel, Robert G. can be contacted via phone (320) 491-1376.

Contact Information

Primary practice address
7830 Belmont Dr Lake Worth FL 33467-7828
Phone: (320) 491-1376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0626 Minnesota
Behavioral Health & Social Service Providers / Forensic 103TF0200X LP0626 Minnesota

Profile Details

NPI number 1174569487
LBN Legal business name Riedel, Robert G.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Aug 10th, 2011 - about 14 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 1174569487 NPPES
Minnesota Other 063L4RI BLUE SHIELD OF MINNESOTA
Minnesota MEDICAID 531347300 BLUE SHIELD OF MINNESOTA
Minnesota Other 1042326 BLUE SHIELD OF MINNESOTA

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