Diaz, Ruth Bautista
Diaz, Ruth Bautista is an sole proprietor health care provider with primary practice located at 4870 W Clark Rd Suite 107, Ypsilanti MI 48197-1104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Diaz, Ruth Bautista can be contacted via phone (734) 434-7260.Contact Information
Primary practice address
4870 W Clark Rd Suite 107
Ypsilanti MI 48197-1104
Phone: (734) 434-7260
Fax: (734) 434-7607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301035476 | Michigan |
Profile Details
| NPI number | 1801941281 |
|---|---|
| LBN Legal business name | Diaz, Ruth Bautista |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Sep 9th, 2021 - about 4 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 | 1801941281 | NPPES |
| Massachusetts | Other | 260817222 | BCBSM |
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