Ridge, Nathanael W

Ridge, Nathanael W is an individual health care provider with primary practice located at 5770 S 250 E #290, Murray UT 84107-8100. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Ridge, Nathanael W can be contacted via phone (801) 747-8700.

Contact Information

Primary practice address
5770 S 250 E #290 Murray UT 84107-8100
Phone: (801) 747-8700
Fax: (801) 747-8701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 68336662501 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6833666-1206 Utah

Profile Details

NPI number 1134424641
LBN Legal business name Ridge, Nathanael W
Credentials PA, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2011
Last updated Nov 24th, 2023 - about last year

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 1134424641 NPPES
Utah Other 1780459016 NPPES

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