Meeker, Rusty
Meeker, Rusty is an sole proprietor health care provider with primary practice located at 12800 Chenal Pkwy Ste 7 , Little Rock AR 72211-3306. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Meeker, Rusty can be contacted via phone (501) 221-6783.Contact Information
Primary practice address
12800 Chenal Pkwy Ste 7
Little Rock AR 72211-3306
Phone: (501) 221-6783
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Point of Service | 305S00000X | A352 | Arkansas |
Profile Details
NPI number | 1730552654 |
---|---|
LBN Legal business name | Meeker, Rusty |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 2nd, 2015 |
Last updated | Nov 2nd, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730552654 | NPPES |
Arkansas | MEDICAID | 46-4182724 |
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