Ruebensam, Donna M
Ruebensam, Donna M is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ruebensam, Donna M can be contacted via phone (219) 322-5747.Contact Information
Primary practice address
24 Joliet St
Dyer IN 46311-1705
Phone: (219) 322-5747
Fax: (219) 864-2282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001717A | Indiana |
Profile Details
| NPI number | 1639362841 |
|---|---|
| LBN Legal business name | Ruebensam, Donna M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Sep 13th, 2023 - about 3 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 | 1639362841 | NPPES |
| Illinois | Other | 90000854 | BCBSIL |
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