Healthcare Provider Details

I. General information

NPI: 1548165657
Provider Name (Legal Business Name): RUTH DUBON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 MAIN ST
WAYNE NE
68787
US

IV. Provider business mailing address

PO BOX 280
WAYNE NE
68787-0280
US

V. Phone/Fax

Practice location:
  • Phone: 402-375-4884
  • Fax:
Mailing address:
  • Phone: 402-375-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: