Rivenburgh, Dennis W

Rivenburgh, Dennis W is an individual health care provider with primary practice located at 5051 Greenspring Ave , Baltimore MD 21209-4354. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Rivenburgh, Dennis W can be contacted via phone (410) 601-9515.

Contact Information

Primary practice address
5051 Greenspring Ave Baltimore MD 21209-4354
Phone: (410) 601-9515
Fax: (410) 601-8905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3490 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3490 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0004803 Maryland

Profile Details

NPI number 1669454104
LBN Legal business name Rivenburgh, Dennis W
Credentials PHYSICIAN ASSTISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Oct 1st, 2018 - about 7 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 1669454104 NPPES
Florida MEDICAID 290365200
Florida Other 970005415

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