Ruedrich, Stephen

Ruedrich, Stephen is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ruedrich, Stephen can be contacted via phone (216) 844-2400.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35.041109 Ohio
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 35041109 Ohio

Profile Details

NPI number 1093745119
LBN Legal business name Ruedrich, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 10th, 2021 - about 3 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 1093745119 NPPES
Ohio MEDICAID 0388932
Ohio Other P00989404

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