Ruffin, Crystal D

Ruffin, Crystal D is an individual health care provider with primary practice located at 10400 75Th St Aurora Kenosha Medical Center, Kenosha WI 53142-7884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ruffin, Crystal D can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Aurora Kenosha Medical Center Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 45194 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036113956 Illinois

Profile Details

NPI number 1285668525
LBN Legal business name Ruffin, Crystal D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285668525 NPPES
Illinois MEDICAID 036113956
Illinois MEDICAID 1285668525

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