AMY D RUCKMAN PEL NPI 1366059818

NPI Information

NPI: 1366059818
Provider Name: AMY D RUCKMAN, PEL
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
407 S EDWARDS ST
ALTAMONT, IL
ZIP 62411
Phone: (618) 483-5171
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Amy D Ruckman, PEL is a school social worker in Altamont, IL. Amy D Ruckman, PEL NPI is 1366059818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

407 S EDWARDS ST
ALTAMONT, IL
ZIP 62411-799
Phone: (618) 483-5171
Fax: (618) 483-6793

The enumeration date for this NPI number is 9/29/2020 and was last updated on 6/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School	448350	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	448350	OTHER	ILLINOIS	PEL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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