Ruby, Jennifer Marie

Ruby, Jennifer Marie is an individual health care provider with primary practice located at 12 St Paul Dr Ste 210 , Chambersburg PA 17201-1035. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ruby, Jennifer Marie can be contacted via phone (717) 217-6820.

Contact Information

Primary practice address
12 St Paul Dr Ste 210 Chambersburg PA 17201-1035
Phone: (717) 217-6820
Fax: (717) 217-6942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN003625 Pennsylvania

Profile Details

NPI number 1700188778
LBN Legal business name Ruby, Jennifer Marie
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2010
Last updated Apr 29th, 2020 - about 4 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 1700188778 NPPES
Pennsylvania MEDICAID 102738231

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