Ridgell, Earl Wesley

Ridgell, Earl Wesley is an sole proprietor health care provider with primary practice located at 7800 Wise Ave Ste 203 , Dundalk MD 21222-3338. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ridgell, Earl Wesley can be contacted via phone (410) 999-4886.

Contact Information

Primary practice address
7800 Wise Ave Ste 203 Dundalk MD 21222-3338
Phone: (410) 999-4886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LGP7740 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC9392 Maryland

Profile Details

NPI number 1023591690
LBN Legal business name Ridgell, Earl Wesley
Credentials MA, MS, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2018
Last updated Jul 22nd, 2020 - about 4 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 1023591690 NPPES
Maryland MEDICAID 145280100

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