Fish, Ruth Ellen

Fish, Ruth Ellen is an individual health care provider with primary practice located at 102 Park St , Glens Falls NY 12801-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fish, Ruth Ellen can be contacted via phone (518) 926-2940.

Contact Information

Primary practice address
102 Park St Glens Falls NY 12801-4403
Fax: (518) 926-2941
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330204 New York

Profile Details

NPI number 1942291380
LBN Legal business name Fish, Ruth Ellen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 21st, 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 1942291380 NPPES
New York MEDICAID 02326901
New York Other P00007684

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