Ruefer, Fred Michael

Ruefer, Fred Michael is an individual health care provider with primary practice located at 209 S 36Th St , Muskogee OK 74401-5043. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ruefer, Fred Michael can be contacted via phone (918) 682-7717.

Contact Information

Primary practice address
209 S 36Th St Muskogee OK 74401-5043
Fax: (918) 682-9434
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12652 Oklahoma

Profile Details

NPI number 1174528806
LBN Legal business name Ruefer, Fred Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 23rd, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174528806 NPPES
Oklahoma MEDICAID 100176280A

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