Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 000621 | CT |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 17369 | CA |
NPI | 1043302763 |
---|---|
Provider Name | Dr. Jacqueline Renee Ruzga |
First Address | Fairfield, CT 06825 |
Second Address | Fairfield, CT 06825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050000621CT01 | BLUECROSS/BLUE SHIELD (01) | CT |
1034320 | AETNA (01) | CT |
1479068003 | CIGNA (01) | CT |
29721 | #29721 (01) | CT |
29721 | US HEALTHCARE (01) | CT |
752213 | CONNECTICARE (01) | CT |
ACN646831 | ACN (01) | CT |
X8E34 | EMPIRE BC/BS/ NY (01) | NY |
ZS924 | OXFORD (01) | CT |