Ruckert, Eric William

Ruckert, Eric William is an sole proprietor health care provider with primary practice located at 880 Westfall Rd , Rochester NY 14618-2611. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ruckert, Eric William can be contacted via phone (585) 473-1700.

Contact Information

Primary practice address
880 Westfall Rd Rochester NY 14618-2611
Phone: (585) 473-1700
Fax: (585) 271-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 034499 New York

Profile Details

NPI number 1851322531
LBN Legal business name Ruckert, Eric William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - 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 1851322531 NPPES
New York MEDICAID 00855078
New York Other 7877ER
New York Other 5448185
New York Other P010034499
New York Other 102051AT

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