Mayforth, Ruth D
Mayforth, Ruth D is an individual health care provider with primary practice located at 301 N 8Th St Pav4A, Springfield IL 62701-1041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Mayforth, Ruth D can be contacted via phone (217) 545-0702.Contact Information
Primary practice address
301 N 8Th St Pav4A
Springfield IL 62701-1041
Phone: (217) 545-0702
Fax: (217) 545-7305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 036105117 | Illinois |
Profile Details
| NPI number | 1184610255 |
|---|---|
| LBN Legal business name | Mayforth, Ruth D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 20th, 2010 - about 15 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 | 1184610255 | NPPES |
| Illinois | MEDICAID | 036105117 |
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