Provider Demographics
NPI:1942200423
Name:RUTH, HERBERT CHARLES (MS, DC, FACO)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:CHARLES
Last Name:RUTH
Suffix:
Gender:M
Credentials:MS, DC, FACO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1715
Mailing Address - Country:US
Mailing Address - Phone:732-747-2000
Mailing Address - Fax:732-933-1744
Practice Address - Street 1:103 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1715
Practice Address - Country:US
Practice Address - Phone:732-747-2000
Practice Address - Fax:732-933-1744
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00146500111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ473106Medicare ID - Type Unspecified