Ridder, Michael J

Ridder, Michael J is an individual health care provider with primary practice located at 2450 Alamo Ave Se , Albuquerque NM 87106-3204. 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. Ridder, Michael J can be contacted via phone (505) 925-2400.

Contact Information

Primary practice address
2450 Alamo Ave Se Albuquerque NM 87106-3204
Phone: (505) 925-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5675 New Mexico

Profile Details

NPI number 1255310702
LBN Legal business name Ridder, Michael J
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jun 11th, 2012 - about 14 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 1255310702 NPPES
New Mexico MEDICAID 42384575

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