Soderberg, Ruth M
Soderberg, Ruth M is an individual health care provider with primary practice located at 2007 Bay St Ste 103, Taunton MA 02780-1086. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Soderberg, Ruth M can be contacted via phone (508) 880-7858.Contact Information
Primary practice address
2007 Bay St Ste 103
Taunton MA 02780-1086
Phone: (508) 880-7858
Fax: (508) 822-5972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 124419NP | Massachusetts |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 124419 | Massachusetts |
Profile Details
NPI number | 1043257637 |
---|---|
LBN Legal business name | Soderberg, Ruth M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2006 |
Last updated | Apr 13th, 2023 - about last year |
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 | 1043257637 | NPPES |
Massachusetts | MEDICAID | 0318116 |
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