Ruiz, Robert W

Ruiz, Robert W is an individual health care provider with primary practice located at 1415 Ross Avenue , El Centro CA 99243-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ruiz, Robert W can be contacted via phone (619) 660-1168.

Contact Information

Primary practice address
1415 Ross Avenue El Centro CA 99243-4306
Phone: (619) 660-1168
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA15696 California

Profile Details

NPI number 1720147077
LBN Legal business name Ruiz, Robert W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 15th, 2013 - about 11 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 1720147077 NPPES
California MEDICAID PA15696
California MEDICAID 1720147077

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