Ridge, Gary R

Ridge, Gary R is an individual health care provider with primary practice located at 157 N 400 W , Orem UT 84057-1909. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Ridge, Gary R can be contacted via phone (801) 226-2421.

Contact Information

Primary practice address
157 N 400 W Orem UT 84057-1909
Phone: (801) 226-2421
Fax: (801) 226-3869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1034600501 Utah

Profile Details

NPI number 1144267089
LBN Legal business name Ridge, Gary R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - 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 1144267089 NPPES
Utah Other 270510 ALTIUS HEALTH PLANS
Utah Other 19925 ALTIUS HEALTH PLANS
Utah Other 2365 ALTIUS HEALTH PLANS
Utah Other 0761150001 ALTIUS HEALTH PLANS
Utah Other 107006243102 ALTIUS HEALTH PLANS
Utah MEDICAID E0110 ALTIUS HEALTH PLANS

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