Baccay, Ian Lloyd Ruiz
Baccay, Ian Lloyd Ruiz is an sole proprietor health care provider with primary practice located at 5263 S Highway 95 , Fort Mohave, Az 86426 , Fort Mohave AZ 86426-9223. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Baccay, Ian Lloyd Ruiz can be contacted via phone (928) 704-6400.Contact Information
Primary practice address
5263 S Highway 95 , Fort Mohave, Az 86426
Fort Mohave AZ 86426-9223
Phone: (928) 704-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 295726 | Arizona |
Profile Details
| NPI number | 1093496069 |
|---|---|
| LBN Legal business name | Baccay, Ian Lloyd Ruiz |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2023 |
| Last updated | May 2nd, 2024 - about 2 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.
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