Ridgell, Deon Travell

Ridgell, Deon Travell is an sole proprietor health care provider with primary practice located at 2817 Reilly St , Fort Liberty NC 28310-5647. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ridgell, Deon Travell can be contacted via phone (910) 907-4005.

Contact Information

Primary practice address
2817 Reilly St Fort Liberty NC 28310-5647
Phone: (910) 907-4005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-03495 North Carolina

Profile Details

NPI number 1487721874
LBN Legal business name Ridgell, Deon Travell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jan 8th, 2024 - 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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