Ridder, Katelin J.

Ridder, Katelin J. is an individual health care provider with primary practice located at 222 N 192Nd St , Elkhorn NE 68022-5363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ridder, Katelin J. can be contacted via phone (402) 390-4111.

Contact Information

Primary practice address
222 N 192Nd St Elkhorn NE 68022-5363
Phone: (402) 390-4111
Fax: (402) 390-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1767 Nebraska

Profile Details

NPI number 1962839506
LBN Legal business name Ridder, Katelin J.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2013
Last updated Dec 15th, 2023 - 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 1962839506 NPPES
Iowa MEDICAID 1962839056
Iowa MEDICAID 47068731751
Iowa MEDICAID 47068731742

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