Ryder, Earl Mark
Ryder, Earl Mark is an individual health care provider with primary practice located at 400 E 5Th Ave , Spokane WA 99202. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ryder, Earl Mark can be contacted via phone (509) 838-2531.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001673 | Washington |
Profile Details
| NPI number | 1700879335 |
|---|---|
| LBN Legal business name | Ryder, Earl Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jun 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700879335 | NPPES |
| Washington | MEDICAID | 2009850 |
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