Ruderman, Jeffrey P
Ruderman, Jeffrey P is an individual health care provider with primary practice located at 1792 Tribute Rd Suite 200, Sacramento CA 95815-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ruderman, Jeffrey P can be contacted via phone (916) 678-5400.Contact Information
Primary practice address
1792 Tribute Rd Suite 200
Sacramento CA 95815-4305
Phone: (916) 678-5400
Fax: (916) 678-7663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G67920 | California |
Profile Details
NPI number | 1497757686 |
---|---|
LBN Legal business name | Ruderman, Jeffrey P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | May 6th, 2013 - about 11 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 | 1497757686 | NPPES |
California | MEDICAID | 00G679200 |
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