Hruby, John S.

Hruby, John S. is an individual health care provider with primary practice located at 5580 Nordic Way , Ferndale WA 98248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hruby, John S. can be contacted via phone (360) 384-1511.

Contact Information

Primary practice address
5580 Nordic Way Ferndale WA 98248
Fax: (360) 384-5758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00017042 Washington

Profile Details

NPI number 1033152780
LBN Legal business name Hruby, John S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 24th, 2012 - about 14 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 1033152780 NPPES
Washington MEDICAID 1068352
Washington Other 0128752
Washington Other 423898012
Washington Other 080141866
Washington Other 8925033
Washington Other 01934

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