Ruddy, John
Ruddy, John is an individual health care provider with primary practice located at 13939 E 14Th St , San Leandro CA 94578-2601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ruddy, John can be contacted via phone (510) 263-3300.Contact Information
Primary practice address
13939 E 14Th St
San Leandro CA 94578-2601
Phone: (510) 263-3300
Fax: (510) 263-3350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G58800 | California |
Profile Details
| NPI number | 1902890130 |
|---|---|
| LBN Legal business name | Ruddy, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Mar 25th, 2021 - about 5 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 | 1902890130 | NPPES |
| California | MEDICAID | CA160376 |
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