Park, Julie Ruggieri

Park, Julie Ruggieri is an individual health care provider with primary practice located at 260 Danny Thomas Place , Memphis TN 38105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Park, Julie Ruggieri can be contacted via phone (901) 595-4329.

Contact Information

Primary practice address
260 Danny Thomas Place Memphis TN 38105
Phone: (901) 595-4329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD00028451 Washington

Profile Details

NPI number 1356422612
LBN Legal business name Park, Julie Ruggieri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 18th, 2023 - about 2 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 1356422612 NPPES
Washington MEDICAID 8154031

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