Carroll, Lisa Lenore Ruppert

Carroll, Lisa Lenore Ruppert is an individual health care provider with primary practice located at 3941 Highway 9 , Boiling Springs SC 29316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carroll, Lisa Lenore Ruppert can be contacted via phone (864) 560-3650.

Contact Information

Primary practice address
3941 Highway 9 Boiling Springs SC 29316
Fax: (864) 560-3675
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL31781 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31781 South Carolina

Profile Details

NPI number 1831328947
LBN Legal business name Carroll, Lisa Lenore Ruppert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2009
Last updated Jul 2nd, 2018 - 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 1831328947 NPPES
South Carolina MEDICAID 317810
South Carolina Other AA90853365
South Carolina Other P01139030

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