Ridder, Gina C

Ridder, Gina C is an individual health care provider with primary practice located at 2701 N Main St , Hutchinson KS 67502-3479. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ridder, Gina C can be contacted via phone (620) 663-8700.

Contact Information

Primary practice address
2701 N Main St Hutchinson KS 67502-3479
Fax: (620) 663-8713
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1359 Kansas

Profile Details

NPI number 1629045448
LBN Legal business name Ridder, Gina C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629045448 NPPES
Kansas MEDICAID 100219380C
Kansas Other CD2825
Kansas Other P00457707

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