Ruelle, Madison Moore

Ruelle, Madison Moore is an individual health care provider with primary practice located at 15951 W 65Th St , Shawnee KS 66217-9342. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ruelle, Madison Moore can be contacted via phone (913) 268-9190.

Contact Information

Primary practice address
15951 W 65Th St Shawnee KS 66217-9342
Phone: (913) 268-9190
Fax: (913) 268-2654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1989 Kansas

Profile Details

NPI number 1609280429
LBN Legal business name Ruelle, Madison Moore
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2014
Last updated Nov 7th, 2022 - about 4 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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