Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | M-11026 | ID |
N | 207N00000X | Dermatologist | ME104994 | FL |
NPI | 1013170125 |
---|---|
Provider Name | Benjamin Carl Ringger |
First Address | Coeur D Alene, ID 83814-4959 |
Second Address | Coeur D Alene, ID 83814-4959 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 07/02/2013 |