Ridgway, Beverly A.

Ridgway, Beverly A. is an individual health care provider with primary practice located at 1005 Midwestern Pkwy , Wichita Falls TX 76302-2211. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Ridgway, Beverly A. can be contacted via phone (940) 322-0771.

Contact Information

Primary practice address
1005 Midwestern Pkwy Wichita Falls TX 76302-2211
Phone: (940) 322-0771
Fax: (940) 766-4942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 661264 Texas

Profile Details

NPI number 1295847572
LBN Legal business name Ridgway, Beverly A.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 8th, 2011 - about 14 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 1295847572 NPPES
Texas MEDICAID 111408401
Texas Other 00T22Y
Texas MEDICAID 111408402

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