Ruel, Theodore D.

Ruel, Theodore D. is an individual health care provider with primary practice located at 1001 Potrero Ave Mail Stop 6E, San Francisco CA 94110-3518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Ruel, Theodore D. can be contacted via phone (415) 206-8631.

Contact Information

Primary practice address
1001 Potrero Ave Mail Stop 6E San Francisco CA 94110-3518
Phone: (415) 206-8631
Fax: (415) 206-3686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A78286 California
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X A78286 California

Profile Details

NPI number 1780610832
LBN Legal business name Ruel, Theodore D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 28th, 2011 - about 13 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 1780610832 NPPES
California MEDICAID 00A782860

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