Ruckdeschel, John Charles
Ruckdeschel, John Charles is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Ruckdeschel, John Charles can be contacted via phone (601) 984-5590.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 984-5590
Fax: (601) 984-5599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 13104 | Nevada |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 8192686-8018 | Utah |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 24804 | Mississippi |
Profile Details
| NPI number | 1356380851 |
|---|---|
| LBN Legal business name | Ruckdeschel, John Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Mar 24th, 2017 - about 8 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 | 1356380851 | NPPES |
| Mississippi | MEDICAID | 09954520 |
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