Ruppel, Keith R
Ruppel, Keith R is an individual health care provider with primary practice located at 15 Vreeland Ave , East Longmeadow MA 01028-1631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Ruppel, Keith R can be contacted via phone (413) 787-2555.Contact Information
Primary practice address
15 Vreeland Ave
East Longmeadow MA 01028-1631
Phone: (413) 787-2555
Fax: (413) 787-9992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 78845 | Massachusetts |
Profile Details
| NPI number | 1962499269 |
|---|---|
| LBN Legal business name | Ruppel, Keith R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2005 |
| Last updated | Dec 13th, 2011 - about 13 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 | 1962499269 | NPPES |
| Massachusetts | MEDICAID | 3151492 |
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