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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790783744 | NPPES |
| Massachusetts | MEDICAID | 2059649 | |
| Massachusetts | MEDICAID | 9003452 |
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