Ridge, Brian A

Ridge, Brian A is an sole proprietor health care provider with primary practice located at 7805 W 38Th Ave , Wheat Ridge CO 80033-6109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ridge, Brian A can be contacted via phone (303) 431-2900.

Contact Information

Primary practice address
7805 W 38Th Ave Wheat Ridge CO 80033-6109
Fax: (303) 431-2999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29993 Colorado
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 29993 Colorado

Profile Details

NPI number 1386718088
LBN Legal business name Ridge, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Aug 25th, 2008 - about 17 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 1386718088 NPPES
Colorado MEDICAID 01299932

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