Fremont, Ruth

Fremont, Ruth is an individual health care provider with primary practice located at 5828B Market St 2Nd Floor, Phila PA 19139-3114. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fremont, Ruth can be contacted via phone (215) 747-6901.

Contact Information

Primary practice address
5828B Market St 2Nd Floor Phila PA 19139-3114
Fax: (215) 747-6907
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS021445L Pennsylvania

Profile Details

NPI number 1689855603
LBN Legal business name Fremont, Ruth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2007
Last updated May 18th, 2012 - about 12 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 1689855603 NPPES
Pennsylvania MEDICAID 001950650

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