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Contact Information

MIKA RIDDLE
407 W WALNUT ST
VAN BUREN, IN46991
 Phone: 765-667-4950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MIKA RIDDLE · (Female)

NPI Number 1366974404
Status Active
Credentials
Entity Individual
Enumeration date 03/29/2017
Last updated 03/29/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 32003091A
Hospital affiliation(s) Not Available
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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