Provider Demographics
NPI:1124009147
Name:HASKINS, RUTH ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:ELLEN
Last Name:HASKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3444 SMOKEY MOUNTAIN CIR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-7326
Mailing Address - Country:US
Mailing Address - Phone:916-941-0779
Mailing Address - Fax:916-608-8749
Practice Address - Street 1:1370 PRAIRIE CITY RD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-9554
Practice Address - Country:US
Practice Address - Phone:916-985-9366
Practice Address - Fax:916-608-8749
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG064514207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G645140Medicare PIN