Ruth, Willard D

Ruth, Willard D is an individual health care provider with primary practice located at 1870 Whitehaven Rd , Grand Island NY 14072-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ruth, Willard D can be contacted via phone (716) 773-6181.

Contact Information

Primary practice address
1870 Whitehaven Rd Grand Island NY 14072-1804
Phone: (716) 773-6181
Fax: (716) 773-0941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 108855 New York

Profile Details

NPI number 1992898019
LBN Legal business name Ruth, Willard D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1992898019 NPPES
Other 6400427 IHA
Other 00010152701 IHA
Other 00050366101 IHA
MEDICAID 00629290 IHA

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