Ruddell, Ty Sanders
Ruddell, Ty Sanders is an individual health care provider with primary practice located at 4864 E Baseline Rd Suite #105, Mesa AZ 85206-4629. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Ruddell, Ty Sanders can be contacted via phone (480) 558-1900.Contact Information
Primary practice address
4864 E Baseline Rd Suite #105
Mesa AZ 85206-4629
Phone: (480) 558-1900
Fax: (480) 633-6086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6023 | Arizona |
| Chiropractic Providers / Sports Physician | 111NS0005X | 3661 | Arizona |
Profile Details
| NPI number | 1982767349 |
|---|---|
| LBN Legal business name | Ruddell, Ty Sanders |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 27th, 2009 - about 15 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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