Rutan, Steven Ray
Rutan, Steven Ray is an sole proprietor health care provider with primary practice located at 5229 Coldwater Rd , Fort Wayne IN 46825-5538. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rutan, Steven Ray can be contacted via phone (260) 484-1453.Contact Information
Primary practice address
5229 Coldwater Rd
Fort Wayne IN 46825-5538
Phone: (260) 484-1453
Fax: (260) 483-8287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18001701A | Indiana |
Profile Details
| NPI number | 1588630149 |
|---|---|
| LBN Legal business name | Rutan, Steven Ray |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jul 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588630149 | NPPES |
| Indiana | MEDICAID | 100054070A |
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