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Contact Information

BRANT RIDDER
410 E 22ND ST STE 1
FREMONT, NE68025
 Phone: 402-727-7979
 Fax: 402-727-9306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRANT RIDDER · (Male)

NPI Number 1295469336
Status Active
Credentials
Entity Individual
Enumeration date 07/14/2022
Last updated 10/30/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NE License # 3044
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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