Ruppert, Phillip Paul

Ruppert, Phillip Paul is an individual health care provider with primary practice located at 3309 Wedgewood Ln , The Villages FL 32162-7177. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ruppert, Phillip Paul can be contacted via phone (352) 391-1220.

Contact Information

Primary practice address
3309 Wedgewood Ln The Villages FL 32162-7177
Phone: (352) 391-1220
Fax: (352) 391-9247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1057057 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1057 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1057 Wisconsin

Profile Details

NPI number 1063426575
LBN Legal business name Ruppert, Phillip Paul
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 12th, 2009 - about 17 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 1063426575 NPPES
Wisconsin MEDICAID 39045600

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