Ruckel, James S

Ruckel, James S is an individual health care provider with primary practice located at 7313 W Jefferson Blvd , Fort Wayne IN 46804-6237. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ruckel, James S can be contacted via phone (260) 436-5200.

Contact Information

Primary practice address
7313 W Jefferson Blvd Fort Wayne IN 46804-6237
Phone: (260) 436-5200
Fax: (260) 436-1103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001766 Indiana

Profile Details

NPI number 1871582783
LBN Legal business name Ruckel, James S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Mar 24th, 2008 - about 18 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871582783 NPPES
Indiana Other 350049797 MEDICARE RAILROAD
Indiana MEDICAID 200156050A MEDICARE RAILROAD
Indiana Other 000000531878 MEDICARE RAILROAD

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