Ridge, Jennifer M

Ridge, Jennifer M is an sole proprietor health care provider with primary practice located at 210 N Breiel Blvd , Middletown OH 45042-3808. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Ridge, Jennifer M can be contacted via phone (513) 424-7231.

Contact Information

Primary practice address
210 N Breiel Blvd Middletown OH 45042-3808
Phone: (513) 424-7231
Fax: (513) 424-1770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35060180 Ohio
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 35.060180 Ohio
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 35.060180 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35.060180 Ohio

Profile Details

NPI number 1932192515
LBN Legal business name Ridge, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Apr 5th, 2024 - about 2 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 1932192515 NPPES
Ohio MEDICAID 0996294

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