Dekker, Ruth Siobhan
Dekker, Ruth Siobhan is an individual health care provider with primary practice located at 777 Hospital Way G15, Pocatello ID 83201-5175. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dekker, Ruth Siobhan can be contacted via phone (208) 239-2722.Contact Information
Primary practice address
777 Hospital Way G15
Pocatello ID 83201-5175
Phone: (208) 239-2722
Fax: (208) 239-3754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP14807 | California |
Profile Details
| NPI number | 1275667685 |
|---|---|
| LBN Legal business name | Dekker, Ruth Siobhan |
| Credentials | M.S.N., F.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jan 27th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275667685 | NPPES |
| California | Other | NP14807 | LICENSE |
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