Brutz, Loretta Ruth
Brutz, Loretta Ruth is an individual health care provider with primary practice located at Wrusd #8 Navajo Route 12 Window Rock Unified School, Ft Defiance AZ 86504. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brutz, Loretta Ruth can be contacted via phone (928) 810-7740.Contact Information
Primary practice address
Wrusd #8 Navajo Route 12 Window Rock Unified School
Ft Defiance AZ 86504
Phone: (928) 810-7740
Fax: (928) 729-7630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP0032 | Arizona |
Profile Details
| NPI number | 1689899536 |
|---|---|
| LBN Legal business name | Brutz, Loretta Ruth |
| Credentials | BA MED MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689899536 | NPPES |
| Arizona | Other | SLP0032 | AZ DEPT OF HEALTH SERVICE |
| Arizona | MEDICAID | 649957 | AZ DEPT OF HEALTH SERVICE |
| Arizona | Other | C 01005913 | AZ DEPT OF HEALTH SERVICE |
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