Ridgway, Blake Randall

Ridgway, Blake Randall is an sole proprietor health care provider with primary practice located at 1800 W University Blvd , Durant OK 74701-3006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ridgway, Blake Randall can be contacted via phone (281) 249-5954.

Contact Information

Primary practice address
1800 W University Blvd Durant OK 74701-3006
Phone: (281) 249-5954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 100088 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 826001 Texas

Profile Details

NPI number 1649717091
LBN Legal business name Ridgway, Blake Randall
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2017
Last updated Jan 24th, 2017 - about 8 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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