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Contact Information

BROOKELLEN RIDER, DO
314 FRANKLIN AVE
SUITE 403
BERLIN, MD21811
 Phone: 410-629-1995
 Fax: 410-629-1993
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BROOKELLEN RIDER · (Female)

NPI # 1326036617
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/11/2005
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # H0044828
  • MD Medicaid 483791600
Hospital affiliation(s)
  • ATLANTIC GENERAL HOSPITAL - (Acute Care)
    9733 HEALTHWAY DRIVE
    BERLIN, MD 21811
  • BEEBE MEDICAL CENTER - (Acute Care)
    424 SAVANNAH RD
    LEWES, DE 19958
  • PENINSULA REGIONAL MEDICAL CENTER - (Acute Care)
    100 EAST CARROLL AVENUE
    SALISBURY, MD 21801
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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