Rucker, Diana

Rucker, Diana is an individual health care provider with primary practice located at 17 Gardner Rd , Brookline MA 02445-4512. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Rucker, Diana can be contacted via phone (617) 669-7722.

Contact Information

Primary practice address
17 Gardner Rd Brookline MA 02445-4512
Phone: (617) 669-7722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1689983694
LBN Legal business name Rucker, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2010
Last updated Sep 26th, 2010 - about 15 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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