Crepet, Ruth Chadab

Crepet, Ruth Chadab is an individual health care provider with primary practice located at 1780 Hanshaw Rd , Ithaca NY 14850-9105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Crepet, Ruth Chadab can be contacted via phone (607) 257-5858.

Contact Information

Primary practice address
1780 Hanshaw Rd Ithaca NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 181204-1 New York

Profile Details

NPI number 1306810270
LBN Legal business name Crepet, Ruth Chadab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 2nd, 2021 - about 3 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 1306810270 NPPES
New York MEDICAID 01173335
New York MEDICAID 0011924600001
New York Other 110078649
New York Other CC8362

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