Provider Demographics
NPI:1972606358
Name:RUHL, FORSTER GEHRING JR (MD)
Entity type:Individual
Prefix:DR
First Name:FORSTER
Middle Name:GEHRING
Last Name:RUHL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:104 N ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-2149
Mailing Address - Country:US
Mailing Address - Phone:662-562-0411
Mailing Address - Fax:662-560-0161
Practice Address - Street 1:104 N ROBINSON ST
Practice Address - Street 2:SENATOBIA FAMILY PRACTICE
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2149
Practice Address - Country:US
Practice Address - Phone:662-562-0411
Practice Address - Fax:662-560-0161
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2023-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS12463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS080003078Medicare PIN
E69076Medicare UPIN
080003078Medicare ID - Type Unspecified