Ruby Sander in Jonesboro - Specialist

Ruby Sander - NPI 1255373668

Ruby Sander is a Specialist in Jonesboro, Arkansas. Ruby Sander practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ruby Sander is 1255373668. The last update date is 2007-07-09.

Ruby Sander's current location address is 151 Southwest Dr, Jonesboro, Arkansas. You can contact this provider via phone number 8709325551 and fax number 8709325552. The mailing address for Ruby Sander is 151 Southwest Dr, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Ruby Sander
Address 151 Southwest Dr, Jonesboro, Arkansas
Phone Number 8709325551
Fax Number 8709325552
Sole Proprietor X
Credentials M.S.,CCC-S

NPI Number Detail

NPI Number 1255373668
Provider Enumeration Date 2006-06-11
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 151 Southwest Dr
City Jonesboro
State Arkansas (AR)
Post Code 724015828
Phone Number 8709325551
Fax Number 8709325552

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No SP1952
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5X261 AR BLUECROSS PROVIDER #

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FAQs about Ruby Sander

What is the unique identification code assigned to Ruby Sander by the Centers for Medicare & Medicaid Services?

The Ruby Sander has been issued the NPI (National Provider Identifier) 1255373668. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Ruby Sander's physical address?

The Ruby Sander is physically located at 151 Southwest Dr, in the city of Jonesboro, AR, with the postal code 724015828.

What is Ruby Sander's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ruby Sander is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255373668 to Ruby Sander?

The Centers for Medicare & Medicaid Services assigned the 1255373668 to Ruby Sander on 2006-06-11.

As of what date were the details pertaining to Ruby Sander last refreshed?

The information related to the Ruby Sander, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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