Ruble, Matthew William

Ruble, Matthew William is an sole proprietor health care provider with primary practice located at 30 Conwell St , Provincetown MA 02657-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ruble, Matthew William can be contacted via phone (508) 487-1459.

Contact Information

Primary practice address
30 Conwell St Provincetown MA 02657-1548
Phone: (508) 487-1459
Fax: (508) 349-0966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 208742 Massachusetts

Profile Details

NPI number 1972501302
LBN Legal business name Ruble, Matthew William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Jul 8th, 2007 - about 17 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 1972501302 NPPES
Massachusetts MEDICAID 0125181

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