Rucker, John Michael

Rucker, John Michael is an individual health care provider with primary practice located at 9150 Medcom St Ste B, North Charleston SC 29406. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Rucker, John Michael can be contacted via phone (843) 572-3330.

Contact Information

Primary practice address
9150 Medcom St Ste B North Charleston SC 29406
Phone: (843) 572-3330
Fax: (843) 572-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 23325 South Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 23325 South Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23325 South Carolina

Profile Details

NPI number 1568462661
LBN Legal business name Rucker, John Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jun 2nd, 2020 - about 4 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 1568462661 NPPES
South Carolina MEDICAID T74207

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