Shannon Alexander Ruth in Luling - Medical
Shannon Alexander Ruth - NPI 1720250087
Shannon Alexander Ruth is a Medical in Luling, Texas. Shannon Alexander Ruth practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannon Alexander Ruth is 1720250087. The last update date is 2012-11-08.
Shannon Alexander Ruth's current location address is 130 Hays St, Luling, Texas. You can contact this provider via phone number 8308753445 and fax number 8308753765. The mailing address for Shannon Alexander Ruth is 130 Hays St, Luling, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Alexander Ruth |
|---|---|
| Address | 130 Hays St, Luling, Texas |
| Phone Number | 8308753445 |
| Fax Number | 8308753765 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1720250087 |
|---|---|
| Provider Enumeration Date | 2008-03-27 |
| Last Updated Date | 2012-11-08 |
Provider Mailing Address Detail
| Address | 130 Hays St |
|---|---|
| City | Luling |
| State | Texas (TX) |
| Post Code | 786483207 |
| Phone Number | 8308753445 |
| Fax Number | 8308753765 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA05863 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280084902 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shannon Alexander Ruth by the Centers for Medicare & Medicaid Services?
The Shannon Alexander Ruth has been issued the NPI (National Provider Identifier) 1720250087. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Shannon Alexander Ruth?
The Shannon Alexander Ruth is physically situated at 130 Hays St, in the city of Luling, state of TX, with the postal code 786483207.
What is the Shannon Alexander Ruth's area of specialization and corresponding taxonomy classification?
The Shannon Alexander Ruth's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Shannon Alexander Ruth receive its 1720250087 assignment?
The Shannon Alexander Ruth was assigned its 1720250087 on 2008-03-27, which is the date when this unique identifier was issued to the organization.
When was the Shannon Alexander Ruth's information last updated?
The Shannon Alexander Ruth's information was last updated on 2012-11-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN