Ruggles, Charles W

Ruggles, Charles W is an individual health care provider with primary practice located at 170 S Parkside Dr , Colorado Springs CO 80910-3129. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ruggles, Charles W can be contacted via phone (719) 471-1763.

Contact Information

Primary practice address
170 S Parkside Dr Colorado Springs CO 80910-3129
Phone: (719) 471-1763
Fax: (719) 471-2498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 19699 Colorado

Profile Details

NPI number 1245202845
LBN Legal business name Ruggles, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 18th, 2016 - about 8 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 1245202845 NPPES
Colorado Other 06D0517138 CLIA
Colorado Other 04-15064 CLIA
Colorado MEDICAID 01196997 CLIA
Colorado MEDICAID 100127700A CLIA
Colorado Other 19677 CLIA

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