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:
Health care specialties
Specialty | Code | License # | 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 13 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 | 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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