Rydstedt, Ruth A

Rydstedt, Ruth A is an individual health care provider with primary practice located at 133 S Main St Suite D, Mount Clemens MI 48043-2308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rydstedt, Ruth A can be contacted via phone (586) 465-1326.

Contact Information

Primary practice address
133 S Main St Suite D Mount Clemens MI 48043-2308
Fax: (586) 465-0329
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301039926 Michigan

Profile Details

NPI number 1326045584
LBN Legal business name Rydstedt, Ruth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2005
Last updated Dec 22nd, 2020 - about 4 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 1326045584 NPPES
Other 700E04360 BCBS OF MI
MEDICAID 1387291 BCBS OF MI

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