Individual
CHRISTOPHER C RUPPRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3755 ORANGE PL STE 101, BEACHWOOD, OH 44122-4455
(844) 746-8537
(216) 450-1810
Mailing address
3755 ORANGE PL STE 101, BEACHWOOD, OH 44122-4455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004604RX
OH
363A00000X
Physician Assistant
53180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161535
—
OH
01
—
H442822
MEDICARE
OH
Enumeration date
01/25/2016
Last updated
10/17/2017
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