Ridyard, Herbert W.

Ridyard, Herbert W. is an individual health care provider with primary practice located at 120 Hospital Dr Ste 260 , Jefferson City TN 37760-5283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ridyard, Herbert W. can be contacted via phone (865) 471-2250.

Contact Information

Primary practice address
120 Hospital Dr Ste 260 Jefferson City TN 37760-5283
Phone: (865) 471-2250
Fax: (865) 471-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD52380 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X 023949 Connecticut

Profile Details

NPI number 1043246887
LBN Legal business name Ridyard, Herbert W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043246887 NPPES
Connecticut Other 051357 HEALTHNET
Connecticut Other 757224 HEALTHNET
Connecticut Other 001239490 HEALTHNET
Connecticut Other 010023949CT03 HEALTHNET
Connecticut Other 0782058 HEALTHNET
Connecticut Other WIS019 HEALTHNET
Connecticut Other P02114 HEALTHNET
Connecticut MEDICAID 001239490 HEALTHNET
Connecticut Other 1280734005 HEALTHNET

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