Ruth, Paul Andy
Ruth, Paul Andy is an individual health care provider with primary practice located at 5109 36Th Ave N , Crystal MN 55422-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ruth, Paul Andy can be contacted via phone (763) 587-7900.Contact Information
Primary practice address
5109 36Th Ave N
Crystal MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24848 | Minnesota |
Profile Details
| NPI number | 1336123611 |
|---|---|
| LBN Legal business name | Ruth, Paul Andy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336123611 | NPPES |
| Minnesota | Other | 5T429RU | BLUE CROSS |
| Minnesota | Other | A009 | BLUE CROSS |
| Minnesota | Other | HP29844 | BLUE CROSS |
| Minnesota | Other | 555707 | BLUE CROSS |
| Minnesota | MEDICAID | 844563000 | BLUE CROSS |
| Minnesota | Other | 01-13065 | BLUE CROSS |
| Minnesota | MEDICAID | 116213 | BLUE CROSS |
| Minnesota | Other | 20177 | BLUE CROSS |
| Minnesota | MEDICAID | 5T429RU | BLUE CROSS |
| Minnesota | MEDICAID | 959544 | BLUE CROSS |
| Minnesota | Other | MH9041000380 | BLUE CROSS |
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