Ridge, Leah Lynn

Ridge, Leah Lynn is an sole proprietor health care provider with primary practice located at 1010 S King St Ste 106, Honolulu HI 96814-1702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ridge, Leah Lynn can be contacted via phone (808) 486-7199.

Contact Information

Primary practice address
1010 S King St Ste 106 Honolulu HI 96814-1702
Fax: (808) 486-7167
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G75737 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 8166 Hawaii

Profile Details

NPI number 1578589040
LBN Legal business name Ridge, Leah Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2006
Last updated Aug 16th, 2020 - about 5 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 1578589040 NPPES
Hawaii MEDICAID 077703-01

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