Ruben, Samuel Mark

Ruben, Samuel Mark is an sole proprietor health care provider with primary practice located at 900 Leilani St , Hilo HI 96720-7512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Ruben, Samuel Mark can be contacted via phone (808) 430-2596.

Contact Information

Primary practice address
900 Leilani St Hilo HI 96720-7512
Phone: (808) 430-2596
Fax: (808) 934-9360
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD5759 Hawaii
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X A35819 California

Profile Details

NPI number 1679606156
LBN Legal business name Ruben, Samuel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Nov 9th, 2011 - about 14 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 1679606156 NPPES
California Other 03006790878 ME#
California MEDICAID 084538 ME#

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