Ruthstrom, Jacob B.

Ruthstrom, Jacob B. is an individual health care provider with primary practice located at 20333 W 151St St , Olathe KS 66061-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ruthstrom, Jacob B. can be contacted via phone (913) 791-4357.

Contact Information

Primary practice address
20333 W 151St St Olathe KS 66061-5350
Phone: (913) 791-4357
Fax: (913) 381-0979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0434990 Kansas

Profile Details

NPI number 1992970628
LBN Legal business name Ruthstrom, Jacob B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated May 2nd, 2017 - about 8 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 1992970628 NPPES
Kansas Other 9304670 AETNA
Kansas Other 45666017 AETNA
Kansas Other 45666017 AETNA
Kansas MEDICAID 1992970628 AETNA

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