Charles Hugh Rutan in Clinton - Pediatrics

Charles Hugh Rutan - NPI 1487643268

Charles Hugh Rutan is a Pediatrics in Clinton, Indiana. Charles Hugh Rutan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Charles Hugh Rutan is 1487643268. The last update date is 2012-08-02.

Charles Hugh Rutan's current location address is 224 Elm St, Clinton, Indiana. You can contact this provider via phone number 7658323292 and fax number 7658329730. The mailing address for Charles Hugh Rutan is 224 Elm St, Clinton, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Hugh Rutan
Address 224 Elm St, Clinton, Indiana
Phone Number 7658323292
Fax Number 7658329730
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1487643268
Provider Enumeration Date 2005-10-14
Last Updated Date 2012-08-02

Provider Mailing Address Detail

Address 224 Elm St
City Clinton
State Indiana (IN)
Post Code 478422312
Phone Number 7658323292
Fax Number 7658329730

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 18002266A
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
351776119 IN TRICARE
87765 IN BLUE CROSS BLUE SHIELD
100243930C IN MEDICAID LOCATION C
100243930 IN --

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FAQs about Charles Hugh Rutan

What is the unique 10-digit identification code assigned to Charles Hugh Rutan by the Centers for Medicare & Medicaid Services?

The Charles Hugh Rutan has been issued the NPI (National Provider Identifier) 1487643268, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Charles Hugh Rutan's facilities are geographically located?

The facilities of Charles Hugh Rutan are physically situated at the following location: 224 Elm St, Clinton, IN, 478422312.

What is the Charles Hugh Rutan's specialty and taxonomy code?

The Charles Hugh Rutan's specialty is Pediatrics, and the corresponding taxonomy code is 152Wp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487643268 to Charles Hugh Rutan?

The Centers for Medicare & Medicaid Services originally issued the 1487643268 to Charles Hugh Rutan on 2005-10-14.

As of what date was the information pertaining to Charles Hugh Rutan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles Hugh Rutan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-02.

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