Individual
JOHNATHON RUGGLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2017 SHELA BLVD, PORTSMOUTH, OH 45662-5782
(740) 727-8101
Mailing address
2017 SHELA BLVD, PORTSMOUTH, OH 45662-5782
(740) 727-8101
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000037865
—
OH
05
—
0000291969
—
OH
Enumeration date
01/30/2023
Last updated
01/30/2023
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