Green, Ruth Ann
Green, Ruth Ann is an individual health care provider with primary practice located at 4440 S Washington St. - Altru Professional Center , Grand Forks ND 58201-7245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Green, Ruth Ann can be contacted via phone (701) 732-7600.Contact Information
Primary practice address
4440 S Washington St. - Altru Professional Center
Grand Forks ND 58201-7245
Phone: (701) 732-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-00577 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAC0786 | North Dakota |
Profile Details
| NPI number | 1073521738 |
|---|---|
| LBN Legal business name | Green, Ruth Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Aug 9th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073521738 | NPPES |
| Kansas | MEDICAID | 100402360B | |
| Kansas | Other | 426761 |
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