Ruck, Donald P
Ruck, Donald P is an sole proprietor health care provider with primary practice located at 511 W Murdock Ave , Oshkosh WI 54901-2213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ruck, Donald P can be contacted via phone (920) 233-7825.Contact Information
Primary practice address
511 W Murdock Ave
Oshkosh WI 54901-2213
Phone: (920) 233-7825
Fax: (920) 233-7825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1710-035 | Wisconsin |
Profile Details
| NPI number | 1649378142 |
|---|---|
| LBN Legal business name | Ruck, Donald P |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 25th, 2015 - about 10 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 | 1649378142 | NPPES |
| Wisconsin | MEDICAID | 38510300 |
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