Ridgway, Derry
Ridgway, Derry is an sole proprietor health care provider with primary practice located at 251 Maple St Ste B , Ashland OR 97520-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ridgway, Derry can be contacted via phone (949) 646-1016.Contact Information
Primary practice address
251 Maple St Ste B
Ashland OR 97520-1516
Phone: (949) 646-1016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD10816 | Oregon |
Profile Details
| NPI number | 1407861131 |
|---|---|
| LBN Legal business name | Ridgway, Derry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1407861131 | NPPES |
| Oregon | Other | 256471 | OREGON WELFARE PROVIDER |
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