Rutherford, Mary Workman

Rutherford, Mary Workman is an individual health care provider with primary practice located at 747 52Nd St Childrens Hospital Oakland Emergency Department, Oakland CA 94609-1809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Rutherford, Mary Workman can be contacted via phone (510) 428-3259.

Contact Information

Primary practice address
747 52Nd St Childrens Hospital Oakland Emergency Department Oakland CA 94609-1809
Phone: (510) 428-3259
Fax: (510) 450-5836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X G43608 California

Profile Details

NPI number 1407932676
LBN Legal business name Rutherford, Mary Workman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1407932676 NPPES
California MEDICAID GR0095780
California MEDICAID 00G436080

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