Carruth, George E

Carruth, George E is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 2K, Liverpool NY 13088-3807. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Carruth, George E can be contacted via phone (315) 452-2200.

Contact Information

Primary practice address
5100 W Taft Rd Suite 2K Liverpool NY 13088-3807
Phone: (315) 452-2200
Fax: (315) 452-2204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 004824 New York

Profile Details

NPI number 1811957541
LBN Legal business name Carruth, George E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Oct 20th, 2009 - about 15 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 1811957541 NPPES
New York MEDICAID 02446028

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