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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730552654 NPPES
Arkansas MEDICAID 46-4182724

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