Ruth, Shawn Richard

Ruth, Shawn Richard is an individual health care provider with primary practice located at 707 S Greenville West Dr , Greenville MI 48838-3514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ruth, Shawn Richard can be contacted via phone (616) 754-3001.

Contact Information

Primary practice address
707 S Greenville West Dr Greenville MI 48838-3514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101014812 Michigan

Profile Details

NPI number 1669429106
LBN Legal business name Ruth, Shawn Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Feb 23rd, 2021 - about 5 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 1669429106 NPPES
Michigan MEDICAID 4761272

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