Jacqueline Marie Clark Ruhf, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Wpafb, OH
NPI 1114240348 · NPPES record last updated Mar 2, 2010
Key facts
- NPI
- 1114240348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 4881 Sugar Maple Dr
Wpafb, OH 45433-5546 - Phone
- (937) 257-9519
- NPI assigned
- Mar 2, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5546
Mailing address
805 Picket PL
Dayton, OH 45433-1325
Phone (937) 271-4711
Other providers in Wpafb, OH
- Alexander Floyd Cahoon
- Gregory D. Carbonella
- A. Noelle Carpenter
- Kerri Beth Chamberlin
- Donna Sue Childress
- William Robert Clark
- Arthur William Clarkson III
- Joseph Connolly III
- Kyle V Conway
- William Carlyle Copley Jr.
All providers in Wpafb, OH · Independent Duty Medical Technicians in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.