Ruggeri, Sun Young

Ruggeri, Sun Young is an individual health care provider with primary practice located at 13800 W North Ave Ste 100, Brookfield WI 53005-4974. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ruggeri, Sun Young can be contacted via phone (262) 754-4488.

Contact Information

Primary practice address
13800 W North Ave Ste 100 Brookfield WI 53005-4974
Fax: (262) 754-4940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 47562-202 Wisconsin

Profile Details

NPI number 1427121979
LBN Legal business name Ruggeri, Sun Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 26th, 2022 - about 2 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 1427121979 NPPES
Wisconsin MEDICAID 34925900
Wisconsin Other 475622000002
Wisconsin Other P00430684

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