Claridge, Richard J

Claridge, Richard J is an individual health care provider with primary practice located at 5779 E Mayo Blvd , Phoenix AZ 85054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Claridge, Richard J can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5779 E Mayo Blvd Phoenix AZ 85054
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 24636 Arizona

Profile Details

NPI number 1174508667
LBN Legal business name Claridge, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 26th, 2007 - about 18 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 1174508667 NPPES
Arizona Other 200026119 RAILROAD MEDICARE
Arizona Other 86080015085259A352 RAILROAD MEDICARE
Arizona MEDICAID 364224 RAILROAD MEDICARE

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