Rucker, Joseph W
Rucker, Joseph W is an individual health care provider with primary practice located at 3221 Stein Blvd , Eau Claire WI 54701-4398. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rucker, Joseph W can be contacted via phone (715) 833-2116.Contact Information
Primary practice address
3221 Stein Blvd
Eau Claire WI 54701-4398
Phone: (715) 833-2116
Fax: (715) 833-1068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 26172 | Wisconsin |
Profile Details
| NPI number | 1215933643 |
|---|---|
| LBN Legal business name | Rucker, Joseph W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Nov 20th, 2008 - about 17 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 | 1215933643 | NPPES |
| Wisconsin | Other | 1300044 | MEDICA |
| Wisconsin | MEDICAID | 30593200 | MEDICA |
| Wisconsin | Other | 391528316014 | MEDICA |
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