Ruiz, Samadhy

Ruiz, Samadhy is an individual health care provider with primary practice located at 5750 W. Thunderbird Ave Suite B- 200, Glendale AZ 85306-4660. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ruiz, Samadhy can be contacted via phone (602) 375-1700.

Contact Information

Primary practice address
5750 W. Thunderbird Ave Suite B- 200 Glendale AZ 85306-4660
Phone: (602) 375-1700
Fax: (602) 843-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3183 Arizona

Profile Details

NPI number 1023093754
LBN Legal business name Ruiz, Samadhy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Sep 22nd, 2020 - about 5 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 1023093754 NPPES
Arizona Other 2Z2614 HEALTHNET
Arizona Other F05992 HEALTHNET
Arizona MEDICAID 959497 HEALTHNET

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