Derbyshire, Ella Ruth
Derbyshire, Ella Ruth is an individual health care provider with primary practice located at 35 Gilbert St Cambridge Family Health Center, Cambridge NY 12816-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Derbyshire, Ella Ruth can be contacted via phone (518) 677-3961.Contact Information
Primary practice address
35 Gilbert St Cambridge Family Health Center
Cambridge NY 12816-2618
Phone: (518) 677-3961
Fax: (518) 677-3180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5690 | Alaska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 280886 | New York |
Profile Details
| NPI number | 1285678938 |
|---|---|
| LBN Legal business name | Derbyshire, Ella Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 5th, 2017 - about 9 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 | 1285678938 | NPPES |
| Alaska | MEDICAID | HS19OP | |
| Alaska | MEDICAID | HS19IP |
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