Rucker, Barbara R
Rucker, Barbara R is an individual health care provider with primary practice located at 74 Eclipse Ctr , Beloit WI 53511-3550. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Rucker, Barbara R can be contacted via phone (608) 313-3120.Contact Information
Primary practice address
74 Eclipse Ctr
Beloit WI 53511-3550
Phone: (608) 313-3120
Fax: (608) 361-0312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1366757569 |
|---|---|
| LBN Legal business name | Rucker, Barbara R |
| Credentials | SAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2010 |
| Last updated | Aug 11th, 2010 - about 14 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 | 1366757569 | NPPES |
| Wisconsin | Other | 15584-131 | STATE LICENSE |
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