Ruth, Paul Andy

Ruth, Paul Andy is an individual health care provider with primary practice located at 5109 36Th Ave N , Crystal MN 55422-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ruth, Paul Andy can be contacted via phone (763) 587-7900.

Contact Information

Primary practice address
5109 36Th Ave N Crystal MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24848 Minnesota

Profile Details

NPI number 1336123611
LBN Legal business name Ruth, Paul Andy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 20th, 2020 - about 6 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 1336123611 NPPES
Minnesota Other 5T429RU BLUE CROSS
Minnesota Other A009 BLUE CROSS
Minnesota Other HP29844 BLUE CROSS
Minnesota Other 555707 BLUE CROSS
Minnesota MEDICAID 844563000 BLUE CROSS
Minnesota Other 01-13065 BLUE CROSS
Minnesota MEDICAID 116213 BLUE CROSS
Minnesota Other 20177 BLUE CROSS
Minnesota MEDICAID 5T429RU BLUE CROSS
Minnesota MEDICAID 959544 BLUE CROSS
Minnesota Other MH9041000380 BLUE CROSS

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