Ruidera, Grace
Ruidera, Grace is an sole proprietor health care provider with primary practice located at 111 N Post Rd Suite C, Midwest City OK 73130-3605. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ruidera, Grace can be contacted via phone (405) 455-4342.Contact Information
Primary practice address
111 N Post Rd Suite C
Midwest City OK 73130-3605
Phone: (405) 455-4342
Fax: (405) 455-4381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19279 | Oklahoma |
Profile Details
| NPI number | 1407886492 |
|---|---|
| LBN Legal business name | Ruidera, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Nov 12th, 2018 - about 7 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 | 1407886492 | NPPES |
| Oklahoma | MEDICAID | 100035440B |
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