Rubenzik, Randi E
Rubenzik, Randi E is an sole proprietor health care provider with primary practice located at 11130 N Tatum Blvd Ste 100 , Phoenix AZ 85028-1630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Rubenzik, Randi E can be contacted via phone (602) 494-1817.Contact Information
Primary practice address
11130 N Tatum Blvd Ste 100
Phoenix AZ 85028-1630
Phone: (602) 494-1817
Fax: (602) 494-7103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26180 | Arizona |
Profile Details
| NPI number | 1588612964 |
|---|---|
| LBN Legal business name | Rubenzik, Randi E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588612964 | NPPES |
| Arizona | Other | 1Z5232 | HEALTH NET |
| Arizona | MEDICAID | 542557 | HEALTH NET |
| Arizona | Other | 070013969 | HEALTH NET |
| Arizona | Other | 99S007000006 | HEALTH NET |
| Arizona | Other | 1588612964 | HEALTH NET |
| Arizona | Other | 1995262 | HEALTH NET |
| Arizona | Other | AZ0869290 | HEALTH NET |
| Arizona | Other | 7096132 | HEALTH NET |
| Arizona | Other | 188961600 | HEALTH NET |
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