Individual
DR. JAMES S RUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7313 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6237
(260) 436-5200
(260) 436-1103
Mailing address
7313 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6237
(260) 436-5200
(260) 436-1103
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001766
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531878
ANTHEMBC/BS
IN
05
—
200156050A
—
IN
01
—
350049797
MEDICARE RAILROAD
IN
Enumeration date
10/14/2005
Last updated
03/24/2008
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