Ruark, Heather A

Ruark, Heather A is an individual health care provider with primary practice located at 2336 Goddard Pkwy , Salisbury MD 21801-1126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ruark, Heather A can be contacted via phone (410) 334-6961.

Contact Information

Primary practice address
2336 Goddard Pkwy Salisbury MD 21801-1126
Fax: (410) 334-6362
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19726 Maryland

Profile Details

NPI number 1710395868
LBN Legal business name Ruark, Heather A
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated Aug 12th, 2014 - about 12 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 1710395868 NPPES
Maryland Other 346646 MHN
Maryland MEDICAID 609550001 MHN
Maryland Other 52156095 MHN
Maryland Other 517251 MHN
Maryland Other 522156095 MHN
Maryland Other LM49EA MHN
Maryland Other R968 MHN
Maryland Other 7840093 MHN
Maryland Other 259147-000 MHN

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