Puruckherr, Michael
Puruckherr, Michael is an individual health care provider with primary practice located at 1340 Charles St Ste 405 , Rockford IL 61104-2200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Puruckherr, Michael can be contacted via phone (779) 696-6102.Contact Information
Primary practice address
1340 Charles St Ste 405
Rockford IL 61104-2200
Phone: (779) 696-6102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2021046940 | Missouri |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD00043378 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00043378 | Washington |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD00043378 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101266905 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036-161516 | Illinois |
Profile Details
| NPI number | 1487684353 |
|---|---|
| LBN Legal business name | Puruckherr, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 4th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487684353 | NPPES |
| Missouri | MEDICAID | 200104425 | |
| Missouri | Other | AB32999 | |
| Missouri | MEDICAID | 1120898 | |
| Missouri | MEDICAID | 7047629 | |
| Missouri | MEDICAID | 036161516 |
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