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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHALANDA RIDDICK

Deactivated Sole Proprietor

SHALANDA RIDDICK is a Bus healthcare provider located in ALLENTOWN, Pennsylvania. NPI 1124667340 is deactivated in the NPPES registry. Verify at CMS.

Bus · ALLENTOWN, PA

This NPI has been deactivated. The record was deactivated on January 8, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1124667340
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2020 (0.0054644808743169 yrs)
Last Updated
Nov 7, 2023
Deactivated
Jan 8, 2020
Sole Proprietor
Yes

Practice Information

Address
1101 HAMILTON ST STE 160
ALLENTOWN, PA, 181011043
Browse PA providers · Browse ZIP 18101
Phone
4845506388
Primary Specialty
Bus
343900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.