Shaffer, Ruth M
Shaffer, Ruth M is an sole proprietor health care provider with primary practice located at 1150 Commonwealth Ave , Bronx NY 10472-4603. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaffer, Ruth M can be contacted via phone (718) 904-7036.Contact Information
Primary practice address
1150 Commonwealth Ave
Bronx NY 10472-4603
Phone: (718) 904-7036
Fax: (718) 904-7024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010971-1 | New York |
Profile Details
| NPI number | 1386632446 |
|---|---|
| LBN Legal business name | Shaffer, Ruth M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Oct 28th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386632446 | NPPES |
| New York | MEDICAID | 01376425 |
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