Ruiz, Kristy Anna

Ruiz, Kristy Anna is an individual health care provider with primary practice located at 658 E Brier Dr , San Bernardino CA 92408. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ruiz, Kristy Anna can be contacted via phone (909) 501-0820.

Contact Information

Primary practice address
658 E Brier Dr San Bernardino CA 92408
Phone: (909) 501-0820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X NA

Profile Details

NPI number 1003471079
LBN Legal business name Ruiz, Kristy Anna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2019
Last updated Nov 20th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003471079 NPPES
Other NA NA
Other H5318 NA

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