Eduardo G Rivera
MOHS-Micrographic Surgeon
122 Demaree Dr
Madison
, Indiana 47250-4622
Eduardo G Rivera
MOHS-Micrographic Surgeon
122 Demaree Dr
Madison
, Indiana 47250-4622
(812) 265-1050
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Eduardo G Rivera
- 122 Demaree Dr
- Madison, IN
- Zip : 47250-4622
- Fax : (812) 265-1050
- Phone : (812) 265-9191
Second Address
- Eduardo G Rivera
- 122 Demaree Dr
- Madison, IN
- Zip : 47250-4622
- Fax : (812) 265-1050
- Phone : (812) 265-9191
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 01050279 | IN |
National Provider Identifier
| NPI | 1457428096 |
|---|---|
| Provider Name | Eduardo G Rivera |
| First Address | Madison, IN 47250-4622 |
| Second Address | Madison, IN 47250-4622 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 18/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000368119 | ANTHEM BCBS IN PROV NUMB (01) | IN |
| 065504 | COLUMBUS SIHO ID (01) | IN |
| 20897 | IN HEALTH NETWORK ID (01) | IN |
| 50007573 | (05) | KY |
| 7514003 | AETNA PROVIDER NUMBER (01) | IN |
| G93466 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.