Waldridge, Phyllis M
Waldridge, Phyllis M is an individual health care provider with primary practice located at 627 W 4Th St , Lexington KY 40508-1207. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Waldridge, Phyllis M can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
627 W 4Th St
Lexington KY 40508-1207
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 1082554 | Kentucky |
Profile Details
| NPI number | 1104966274 |
|---|---|
| LBN Legal business name | Waldridge, Phyllis M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1104966274 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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