Waldridge, Ronald E

Waldridge, Ronald E is an individual health care provider with primary practice located at 60 Mack Walters Rd , Shelbyville KY 40065-1738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waldridge, Ronald E can be contacted via phone (502) 633-4622.

Contact Information

Primary practice address
60 Mack Walters Rd Shelbyville KY 40065-1738
Fax: (502) 633-6925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14530 Kentucky

Profile Details

NPI number 1356333553
LBN Legal business name Waldridge, Ronald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 12th, 2014 - about 10 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 1356333553 NPPES
Kentucky MEDICAID 64145303

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