Blair, Ruth

Blair, Ruth is an individual health care provider with primary practice located at 1515 E Cedar Ave Ste D-2 , Flagstaff AZ 86004-1638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blair, Ruth can be contacted via phone (928) 774-0775.

Contact Information

Primary practice address
1515 E Cedar Ave Ste D-2 Flagstaff AZ 86004-1638
Phone: (928) 774-0775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 65076968900 Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP5366 Arizona

Profile Details

NPI number 1982953782
LBN Legal business name Blair, Ruth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2012
Last updated Dec 8th, 2022 - about 2 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 1982953782 NPPES
Arizona MEDICAID 880054

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