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
Fax: (508) 822-5972
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043257637 NPPES
Massachusetts MEDICAID 0318116

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