Ridley, Derrick E
Ridley, Derrick E is an individual health care provider with primary practice located at 4000 Coliseum Dr Suite 100, Hampton VA 23666-5906. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ridley, Derrick E can be contacted via phone (757) 827-2200.Contact Information
Primary practice address
4000 Coliseum Dr Suite 100
Hampton VA 23666-5906
Phone: (757) 827-2200
Fax: (757) 827-2266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101033473 | Virginia |
Profile Details
| NPI number | 1679530703 |
|---|---|
| LBN Legal business name | Ridley, Derrick E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 24th, 2011 - about 13 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 | 1679530703 | NPPES |
| Virginia | MEDICAID | 006071147 |
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