Ridder, Tim R
Ridder, Tim R is an individual health care provider with primary practice located at 2701 N Main St , Hutchinson KS 67502-3479. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ridder, Tim R can be contacted via phone (620) 663-8700.Contact Information
Primary practice address
2701 N Main St
Hutchinson KS 67502-3479
Phone: (620) 663-8700
Fax: (620) 663-8713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 13853 | Kansas |
Profile Details
| NPI number | 1790752574 |
|---|---|
| LBN Legal business name | Ridder, Tim R |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790752574 | NPPES |
| Kansas | MEDICAID | 100219360B | |
| Kansas | Other | P00292520 |
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