Ruiz, Antonio Jose

Ruiz, Antonio Jose is an individual health care provider with primary practice located at 1138 N Road St , Elizabeth City NC 27909-3353. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Ruiz, Antonio Jose can be contacted via phone (252) 335-4890.

Contact Information

Primary practice address
1138 N Road St Elizabeth City NC 27909-3353
Phone: (252) 335-4890
Fax: (252) 335-7836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34449 North Carolina
Other Service Providers / Specialist 174400000X 34449 North Carolina

Profile Details

NPI number 1033118518
LBN Legal business name Ruiz, Antonio Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 20th, 2024 - about 2 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 1033118518 NPPES
North Carolina MEDICAID 8973838

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