Provider Demographics
NPI:1508255860
Name:WEGMANN, RUTH BUSKO (MAC, LAC, DIPLA)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:BUSKO
Last Name:WEGMANN
Suffix:
Gender:F
Credentials:MAC, LAC, DIPLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 N HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3013
Mailing Address - Country:US
Mailing Address - Phone:717-258-6743
Mailing Address - Fax:
Practice Address - Street 1:26 N HANOVER ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3013
Practice Address - Country:US
Practice Address - Phone:717-258-6743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000871171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist