Sander, Ruby

Sander, Ruby is an individual health care provider with primary practice located at 151 Southwest Dr , Jonesboro AR 72401-5828. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sander, Ruby can be contacted via phone (870) 932-5551.

Contact Information

Primary practice address
151 Southwest Dr Jonesboro AR 72401-5828
Fax: (870) 932-5552
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SP1952 Arkansas

Profile Details

NPI number 1255373668
LBN Legal business name Sander, Ruby
Credentials M.S.,CCC-SLP08
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jul 9th, 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 1255373668 NPPES
Arkansas Other 5X261 BLUECROSS PROVIDER #

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