Rutherford, Mary Workman
Rutherford, Mary Workman is an individual health care provider with primary practice located at 747 52Nd St Childrens Hospital Oakland Emergency Department, Oakland CA 94609-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Rutherford, Mary Workman can be contacted via phone (510) 428-3259.Contact Information
Primary practice address
747 52Nd St Childrens Hospital Oakland Emergency Department
Oakland CA 94609-1809
Phone: (510) 428-3259
Fax: (510) 450-5836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | G43608 | California |
Profile Details
| NPI number | 1407932676 |
|---|---|
| LBN Legal business name | Rutherford, Mary Workman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1407932676 | NPPES |
| California | MEDICAID | GR0095780 | |
| California | MEDICAID | 00G436080 |
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