Ridder, Michael J
Ridder, Michael J is an individual health care provider with primary practice located at 2450 Alamo Ave Se , Albuquerque NM 87106-3204. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ridder, Michael J can be contacted via phone (505) 925-2400.Contact Information
Primary practice address
2450 Alamo Ave Se
Albuquerque NM 87106-3204
Phone: (505) 925-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5675 | New Mexico |
Profile Details
| NPI number | 1255310702 |
|---|---|
| LBN Legal business name | Ridder, Michael J |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jun 11th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255310702 | NPPES |
| New Mexico | MEDICAID | 42384575 |
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