Ruff, John Daniel

Ruff, John Daniel is an sole proprietor health care provider with primary practice located at 614 Spring St , Peoria IL 61603-4133. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Ruff, John Daniel can be contacted via phone (309) 637-3668.

Contact Information

Primary practice address
614 Spring St Peoria IL 61603-4133
Phone: (309) 637-3668
Fax: (309) 637-2325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 016003701 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016003701 Illinois

Profile Details

NPI number 1366440166
LBN Legal business name Ruff, John Daniel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Jul 24th, 2009 - about 15 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 1366440166 NPPES
Illinois MEDICAID 016003701
Illinois Other 1386802775
Illinois Other 1588813133
Illinois Other 1588813133

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