Provider Demographics
NPI:1174252043
Name:HOLEC, RUTH
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:
Last Name:HOLEC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8505 BREMEN WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-6561
Mailing Address - Country:US
Mailing Address - Phone:630-640-1003
Mailing Address - Fax:630-206-0962
Practice Address - Street 1:8505 BREMEN WAY
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-6561
Practice Address - Country:US
Practice Address - Phone:630-640-1003
Practice Address - Fax:630-206-0962
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter