Ridgway, Mildred
Ridgway, Mildred is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 750, Jackson MS 39216-4643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Ridgway, Mildred can be contacted via phone (601) 987-3033.Contact Information
Primary practice address
971 Lakeland Dr Ste 750
Jackson MS 39216-4643
Phone: (601) 987-3033
Fax: (601) 987-8768
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 18985 | Mississippi |
Profile Details
NPI number | 1134111867 |
---|---|
LBN Legal business name | Ridgway, Mildred |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 18th, 2005 |
Last updated | Jul 23rd, 2012 - about 12 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 | 1134111867 | NPPES |
Louisiana | MEDICAID | 2195115 |
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