Rydzak, Edward
Rydzak, Edward is an sole proprietor health care provider with primary practice located at 1139 Lexington Ave , Savannah GA 31404-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Rydzak, Edward can be contacted via phone (912) 303-4200.Contact Information
Primary practice address
1139 Lexington Ave
Savannah GA 31404-5502
Phone: (912) 303-4200
Fax: (912) 790-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 038941 | Georgia |
Profile Details
| NPI number | 1639157266 |
|---|---|
| LBN Legal business name | Rydzak, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Feb 13th, 2015 - about 10 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 | 1639157266 | NPPES |
| Georgia | MEDICAID | 000623059F | |
| Georgia | Other | 11BDSLT |
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