Warren, Ruth Callaway

Warren, Ruth Callaway is an individual health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Warren, Ruth Callaway can be contacted via phone (920) 884-3135.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Phone: (920) 884-3135
Fax: (920) 884-3144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 5101018539 Michigan
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 50362 Wisconsin

Profile Details

NPI number 1124096185
LBN Legal business name Warren, Ruth Callaway
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 20th, 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 1124096185 NPPES
Wisconsin Other 1124096185 BCBS ANTHEM
Wisconsin MEDICAID 1124096185 BCBS ANTHEM
Wisconsin MEDICAID 100004011 BCBS ANTHEM

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