Individual
DR. CHARLES E RUCKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7231 ENGLE RD, FORT WAYNE, IN 46804-2230
(260) 432-5354
Mailing address
7231 ENGLE RD, FORT WAYNE, IN 46804-2230
(260) 432-5354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000913A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079081
ANTHEM BC/BS
IN
Enumeration date
10/13/2005
Last updated
04/03/2008
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