Individual
JOANN E RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
770 W HIGH ST, SUITE 460, LIMA, OH 45801-3990
(419) 226-4300
(419) 226-4305
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-01257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292241
ANTHEM BLUE CROSS
OH
Enumeration date
01/04/2007
Last updated
03/20/2012
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