Riesland, Rodney
Riesland, Rodney is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 344, Marquette MI 49855-2675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Riesland, Rodney can be contacted via phone (906) 225-3910.Contact Information
Primary practice address
1414 W Fair Ave Ste 344
Marquette MI 49855-2675
Phone: (906) 225-3910
Fax: (906) 225-4529
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 205362 | Michigan |
Profile Details
NPI number | 1013998574 |
---|---|
LBN Legal business name | Riesland, Rodney |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 10th, 2005 |
Last updated | Mar 3rd, 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 | 1013998574 | NPPES |
Michigan | Other | P00045838 | RAILROAD MEDICARE |
Michigan | MEDICAID | 4517925 | RAILROAD MEDICARE |
Michigan | Other | 381358036011 | RAILROAD MEDICARE |
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