Riesenberg, John J
Riesenberg, John J is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Riesenberg, John J can be contacted via phone (864) 560-6000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 070502170 | South Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 843 | South Carolina |
Profile Details
| NPI number | 1154545887 |
|---|---|
| LBN Legal business name | Riesenberg, John J |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Sep 15th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154545887 | NPPES |
| South Carolina | Other | 070502170 | NATA CERTIFICATION |
| South Carolina | Other | 843 | NATA CERTIFICATION |
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