Provider Demographics
NPI:1568051001
Name:SHUGARS, RUBY ANN
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:ANN
Last Name:SHUGARS
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 1:118 EILEEN DR
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-7193
Mailing Address - Country:US
Mailing Address - Phone:304-790-4315
Mailing Address - Fax:304-788-6363
Practice Address - Street 1:118 EILEEN DR
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-7193
Practice Address - Country:US
Practice Address - Phone:304-790-4315
Practice Address - Fax:304-788-6363
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant