Ridgway, Jesse R
Ridgway, Jesse R is an individual health care provider with primary practice located at 590 Court St , Keene NH 03431-1719. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Ridgway, Jesse R can be contacted via phone (603) 354-6534.Contact Information
Primary practice address
590 Court St
Keene NH 03431-1719
Phone: (603) 354-6534
Fax: (413) 794-1629
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | Vermont | |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN2321296 | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 069271-23 | New Hampshire |
Profile Details
NPI number | 1013390830 |
---|---|
LBN Legal business name | Ridgway, Jesse R |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2015 |
Last updated | Mar 1st, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013390830 | NPPES |
Vermont | MEDICAID | 0004372 |
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