Rieder, Keith Lee

Rieder, Keith Lee is an individual health care provider with primary practice located at 1061 Maple Dr Suite 1, Morgantown WV 26505-2814. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Rieder, Keith Lee can be contacted via phone (304) 599-5751.

Contact Information

Primary practice address
1061 Maple Dr Suite 1 Morgantown WV 26505-2814
Phone: (304) 599-5751
Fax: (304) 599-2124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 580 West Virginia

Profile Details

NPI number 1417922360
LBN Legal business name Rieder, Keith Lee
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1417922360 NPPES
West Virginia MEDICAID 0164008000
West Virginia Other Y295240
West Virginia Other 047096

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