Mccain, Ruby

Mccain, Ruby is an sole proprietor health care provider with primary practice located at 2514 S 102Nd St Ste 160, West Allis WI 53227-2142. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mccain, Ruby can be contacted via phone (414) 255-0300.

Contact Information

Primary practice address
2514 S 102Nd St Ste 160 West Allis WI 53227-2142
Phone: (414) 255-0300
Fax: (414) 543-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209012869 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 6200-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6200-33 Wisconsin

Profile Details

NPI number 1437530813
LBN Legal business name Mccain, Ruby
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Sep 15th, 2016 - about 9 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 1437530813 NPPES
Wisconsin Other 6200-33 NP LICENSE NUMBER

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