Cook, Ruby Broadbus

Cook, Ruby Broadbus is an individual health care provider with primary practice located at 3113 W Marshall Street Suite 1C , Richmond VA 23230. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Cook, Ruby Broadbus can be contacted via phone (804) 377-3955.

Contact Information

Primary practice address
3113 W Marshall Street Suite 1C Richmond VA 23230
Phone: (804) 377-3955
Fax: (804) 377-3956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0710000849 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701002780 Virginia

Profile Details

NPI number 1497859557
LBN Legal business name Cook, Ruby Broadbus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497859557 NPPES
Virginia MEDICAID 0054100501

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