Wride, Ron

Wride, Ron is an individual health care provider with primary practice located at 750 Wellington Ave , Grand Junction CO 81501-6132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wride, Ron can be contacted via phone (970) 244-2457.

Contact Information

Primary practice address
750 Wellington Ave Grand Junction CO 81501-6132
Phone: (970) 244-2457
Fax: (970) 255-1809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 68 Colorado

Profile Details

NPI number 1891771986
LBN Legal business name Wride, Ron
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Nov 23rd, 2007 - about 18 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 1891771986 NPPES
Colorado MEDICAID 94436347

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