Ruede, Keith

Ruede, Keith is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ruede, Keith can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 055-0030218 Vermont

Profile Details

NPI number 1316958622
LBN Legal business name Ruede, Keith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jan 11th, 2016 - about 8 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 1316958622 NPPES
New Hampshire MEDICAID 3075397
New Hampshire MEDICAID 9000273

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