Individual
RUTH E BAINBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-6900
(765) 662-4528
Mailing address
330 N WABASH, STE G20, MARION, IN 46952-2600
(765) 660-7616
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01031908A
IN
207P00000X
Emergency Medicine Physician
Primary
35.098470
OH
207Q00000X
Family Medicine Physician
01031908A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001227044
ANTHEM
IN
05
—
100124420A
—
IN
Enumeration date
11/09/2005
Last updated
05/14/2021
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