Ruebke, Eric A

Ruebke, Eric A is an individual health care provider with primary practice located at 201 S 14Th St , Herrin IL 62948-3631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ruebke, Eric A can be contacted via phone (618) 942-2171.

Contact Information

Primary practice address
201 S 14Th St Herrin IL 62948-3631
Phone: (618) 942-2171
Fax: (618) 988-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-106061 Illinois

Profile Details

NPI number 1467402065
LBN Legal business name Ruebke, Eric A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 8th, 2021 - about 5 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 1467402065 NPPES
Illinois MEDICAID 036106061-2
Illinois MEDICAID 036106061-3
Illinois MEDICAID 7100098030

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