Fothergill, Ruth Kay

Fothergill, Ruth Kay is an individual health care provider with primary practice located at 1117 Spring St , Friday Harbor WA 98250. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fothergill, Ruth Kay can be contacted via phone (360) 378-2141.

Contact Information

Primary practice address
1117 Spring St Friday Harbor WA 98250
Phone: (360) 378-2141
Fax: (360) 378-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49139 Minnesota
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 49139 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60816889 Washington

Profile Details

NPI number 1316009178
LBN Legal business name Fothergill, Ruth Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 6th, 2018 - about 6 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 1316009178 NPPES
Minnesota MEDICAID 103440000

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