Individual
MARILOU G RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS AUD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(419) 905-7037
Mailing address
19 BARRINGTON RD, HORSEHEADS, NY 14845-2272
(419) 905-7037
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
23001082A
IN
231H00000X
Audiologist
A0000001464
TN
231H00000X
Audiologist
Primary
AT006243
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032658
SIGNATURE HEALTH ALLIANCE
TN
01
—
1138236
WINDSOR MEDICARE ADVANTAGE
TN
05
—
3192016
—
TN
01
—
4166173
BLUE CROSS/BLUE SHIELD
TN
01
—
9277081
AETNA
—
01
—
9368045
CIGNA
—
Enumeration date
07/06/2006
Last updated
06/05/2012
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