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
Phone: (864) 560-3650
Fax: (864) 560-3675
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831328947 | NPPES |
South Carolina | MEDICAID | 317810 | |
South Carolina | Other | AA90853365 | |
South Carolina | Other | P01139030 |
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