Johnson-Rucker, Annette
Johnson-Rucker, Annette is an sole proprietor health care provider with primary practice located at 3294 E 104Th St , Cleveland OH 44104-5646. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Johnson-Rucker, Annette can be contacted via phone (216) 322-3006.Contact Information
Primary practice address
3294 E 104Th St
Cleveland OH 44104-5646
Phone: (216) 322-3006
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
NPI number | 1558075242 |
---|---|
LBN Legal business name | Johnson-Rucker, Annette |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2023 |
Last updated | Jan 9th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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