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Contact Information

MATTHEW RIDGWAY, MED, ATC, LAT
100 MISSOURI ATHLETICS TRAINING COMPLEX
COLUMBIA, MO65211-0001
 Phone: 573-253-4564
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MATTHEW RIDGWAY · (Male)

NPI Number 1255913059
Status Active
Credentials MED, ATC, LAT
Entity Individual
Enumeration date 04/22/2021
Last updated 04/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018029283
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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