Ridder, Ronald J

Ridder, Ronald J is an individual health care provider with primary practice located at 701 10Th St Se , Cedar Rapids IA 52403-1251. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ridder, Ronald J can be contacted via phone (319) 369-4777.

Contact Information

Primary practice address
701 10Th St Se Cedar Rapids IA 52403-1251
Phone: (319) 369-4777
Fax: (319) 369-4694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PHD338 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 080046 Iowa

Profile Details

NPI number 1861463440
LBN Legal business name Ridder, Ronald J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 15th, 2015 - about 11 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 1861463440 NPPES
Nebraska Other NA1614001 INDIVIDUAL PTAN
Nebraska MEDICAID 10025567800 INDIVIDUAL PTAN
Nebraska MEDICAID 10025845100 INDIVIDUAL PTAN
Nebraska Other NA1614 INDIVIDUAL PTAN

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