Provider Demographics
NPI:1013170125
Name:RINGGER, BENJAMIN CARL (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:CARL
Last Name:RINGGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2288 N MERRITT CREEK LOOP
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4959
Mailing Address - Country:US
Mailing Address - Phone:208-665-7546
Mailing Address - Fax:208-667-4607
Practice Address - Street 1:2288 N MERRITT CREEK LOOP
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4959
Practice Address - Country:US
Practice Address - Phone:208-665-7546
Practice Address - Fax:208-667-4607
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104994207N00000X
IDM-11026207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology