Ruckman, Raymond James

Ruckman, Raymond James is an sole proprietor health care provider with primary practice located at 111 W Tenth St , Carson City NV 89703-5201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ruckman, Raymond James can be contacted via phone (775) 883-4664.

Contact Information

Primary practice address
111 W Tenth St Carson City NV 89703-5201
Phone: (775) 883-4664
Fax: (775) 883-4750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 638 Nevada

Profile Details

NPI number 1134106842
LBN Legal business name Ruckman, Raymond James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2005
Last updated Aug 4th, 2020 - about 6 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 1134106842 NPPES
Nevada Other CH214X MEDICARE PTAN
Nevada Other 12019435 MEDICARE PTAN

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