Ryberg, Ardith A

Ryberg, Ardith A is an sole proprietor health care provider with primary practice located at 801 Harmony St Suite 408, Council Bluffs IA 51503-3106. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ryberg, Ardith A can be contacted via phone (712) 256-6160.

Contact Information

Primary practice address
801 Harmony St Suite 408 Council Bluffs IA 51503-3106
Phone: (712) 256-6160
Fax: (402) 895-5060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19489 Nebraska

Profile Details

NPI number 1174631261
LBN Legal business name Ryberg, Ardith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Aug 9th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174631261 NPPES
Missouri MEDICAID 209767946
Missouri Other 32328
Missouri MEDICAID 10025492800
Missouri MEDICAID 3507293

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