National Provider Identifier Database

JUDY S RIVENBARK, MD – NPI #1851672372
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

JUDY S RIVENBARK, MD
555 STOCKTON STREET
JACKSONVILLE, FL32204
Phone: 800-888-8776
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for JUDY S RIVENBARK

NPI Number 1851672372
Credentials MD
Entity Individual
Enumeration date 08/30/2011
Last updated 08/30/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME81633
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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