Ruocco, Eric M.

Ruocco, Eric M. is an individual health care provider with primary practice located at 1 Saint Elizabeth Blvd , O Fallon IL 62269-1099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ruocco, Eric M. can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
1 Saint Elizabeth Blvd O Fallon IL 62269-1099
Fax: (618) 541-5810
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.117725 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 101102 Missouri

Profile Details

NPI number 1457346082
LBN Legal business name Ruocco, Eric M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 30th, 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 1457346082 NPPES
Missouri MEDICAID 208041921

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