Provider Demographics
NPI:1598861197
Name:RULE, INGRID K (MD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:K
Last Name:RULE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5524
Mailing Address - Country:US
Mailing Address - Phone:970-667-3030
Mailing Address - Fax:970-669-0050
Practice Address - Street 1:231 W 4TH ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5524
Practice Address - Country:US
Practice Address - Phone:970-667-3030
Practice Address - Fax:970-669-0050
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27823207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO010023066OtherRAILROAD MEDICARE ID
CO39731OtherANTHEM BC/BS
CO447282OtherUNITED HEALTHCARE
CORU78871OtherFEDERAL BC/BS
CO010023066OtherRAILROAD
CO841102449OtherFEIN
CO01278233Medicaid
COR015553OtherTRIWEST
CO4284470OtherAETNA
CO841102449-01OtherPACIFICARE
CO01278233Medicaid
CO841102449OtherFEIN
COC78871Medicare PIN