Ruza, Theodore J
Ruza, Theodore J is an sole proprietor health care provider with primary practice located at 21440 Archwood Circle , Farmington Hills MI 48336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ruza, Theodore J can be contacted via phone (248) 426-6930.Contact Information
Primary practice address
21440 Archwood Circle
Farmington Hills MI 48336
Phone: (248) 426-6930
Fax: (248) 477-3732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101009905 | Michigan |
Profile Details
| NPI number | 1346392735 |
|---|---|
| LBN Legal business name | Ruza, Theodore J |
| Credentials | DO PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Oct 5th, 2009 - about 16 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 | 1346392735 | NPPES |
| Other | 063237 | VALUE OPTIONS | |
| Other | 260017749 | VALUE OPTIONS | |
| Other | 2756337455 | VALUE OPTIONS | |
| MEDICAID | 2805977 | VALUE OPTIONS | |
| Other | 093876000 | VALUE OPTIONS | |
| Other | 4261534 | VALUE OPTIONS | |
| Other | 2756315234 | VALUE OPTIONS | |
| Other | 511709 | VALUE OPTIONS |
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