Provider Demographics
NPI:1740597764
Name:FLETCHER, RUTH A (DC)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:A
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 WHITE ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-4943
Mailing Address - Country:US
Mailing Address - Phone:717-854-5222
Mailing Address - Fax:717-854-5494
Practice Address - Street 1:2159 WHITE ST
Practice Address - Street 2:SUITE 8
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4943
Practice Address - Country:US
Practice Address - Phone:717-854-5222
Practice Address - Fax:717-854-5494
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007566L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor