Ryder, Beth Ann

Ryder, Beth Ann is an individual health care provider with primary practice located at 195 Collyer St Suite 302, Providence RI 02904-1869. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ryder, Beth Ann can be contacted via phone (401) 793-5144.

Contact Information

Primary practice address
195 Collyer St Suite 302 Providence RI 02904-1869
Phone: (401) 793-5144
Fax: (401) 793-5171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD11450 Rhode Island

Profile Details

NPI number 1790783744
LBN Legal business name Ryder, Beth Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jan 29th, 2020 - about 4 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 1790783744 NPPES
Massachusetts MEDICAID 2059649
Massachusetts MEDICAID 9003452

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