Ruiz, Mitchell S.
Ruiz, Mitchell S. is an individual health care provider with primary practice located at 9555 76Th St , Pleasant Prairie WI 53158-1984. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ruiz, Mitchell S. can be contacted via phone (262) 577-8989.Contact Information
Primary practice address
9555 76Th St
Pleasant Prairie WI 53158-1984
Phone: (262) 577-8989
Fax: (262) 577-8990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1267-019 | Wisconsin |
Profile Details
| NPI number | 1225251200 |
|---|---|
| LBN Legal business name | Ruiz, Mitchell S. |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1225251200 | NPPES |
| Wisconsin | MEDICAID | 40468500 |
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