Ridge, Michael P

Ridge, Michael P is an individual health care provider with primary practice located at 560 N Camino Mercado Suite 7, Casa Grande AZ 85122-5759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ridge, Michael P can be contacted via phone (520) 836-5538.

Contact Information

Primary practice address
560 N Camino Mercado Suite 7 Casa Grande AZ 85122-5759
Phone: (520) 836-5538
Fax: (520) 836-6998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15513 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15513 Arizona

Profile Details

NPI number 1689660813
LBN Legal business name Ridge, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 23rd, 2010 - about 15 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 1689660813 NPPES
Arizona MEDICAID 253089

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