Ridge, Jerry V

Ridge, Jerry V is an individual health care provider with primary practice located at 7 Line Rd , Laurel MS 39443-2663. 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. Ridge, Jerry V can be contacted via phone (601) 705-1901.

Contact Information

Primary practice address
7 Line Rd Laurel MS 39443-2663
Phone: (601) 705-1901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AD01R-019R Mississippi

Profile Details

NPI number 1447482237
LBN Legal business name Ridge, Jerry V
Credentials MADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2009
Last updated Aug 13th, 2009 - about 17 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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