Individual
GLENN RIDENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 604, CHARLESTON, WV 25304-1223
(304) 345-5421
(304) 345-0951
Mailing address
3100 MACCORKLE AVE SE, STE 902, CHARLESTON, WV 25304-1234
(304) 345-5421
(304) 345-0951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22336
WV
207RI0200X
Infectious Disease Physician
Primary
22336
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005579
—
WV
Enumeration date
05/31/2006
Last updated
05/05/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us