NPI 1235367079 MR. CASEY RIDER SAN RAFAEL CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Casey Rider - NPI: 1235367079

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. CASEY RIDER
NPI Number: 1235367079
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 11221
Business Practice Address: 280 W Macarthur Blvd
Oakland, CA - 946115642
Business Phone Number: 5107521000
Business Fax Number:
Mailing Address: 36 Alta Vista Way,
SAN RAFAEL
State: CA
Postal Code: 949013517
Phone Number: 4154655765
Fax Number:
NPI Enumeration Date: 07/01/2009
NPI Last Update Date: 07/01/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 11221
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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