Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 34005532 | OH |
NPI | 1144210006 |
---|---|
Provider Name | Joseph J Ruane |
First Address | Dublin, OH 43016-4259 |
Second Address | Columbus, OH 43214-3425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 05/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0898293 | (05) | OH |