Ruckman, Raymond James
Ruckman, Raymond James is an sole proprietor health care provider with primary practice located at 111 W Tenth St , Carson City NV 89703-5201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ruckman, Raymond James can be contacted via phone (775) 883-4664.Contact Information
Primary practice address
111 W Tenth St
Carson City NV 89703-5201
Phone: (775) 883-4664
Fax: (775) 883-4750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 638 | Nevada |
Profile Details
NPI number | 1134106842 |
---|---|
LBN Legal business name | Ruckman, Raymond James |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 23rd, 2005 |
Last updated | Aug 4th, 2020 - about 4 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 | 1134106842 | NPPES |
Nevada | Other | CH214X | MEDICARE PTAN |
Nevada | Other | 12019435 | MEDICARE PTAN |
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