Rucker, Richard Douglas
Rucker, Richard Douglas is an individual health care provider with primary practice located at 795 Middle St , Fall River MA 02721-1733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rucker, Richard Douglas can be contacted via phone (508) 674-5600.Contact Information
Primary practice address
795 Middle St
Fall River MA 02721-1733
Phone: (508) 674-5600
Fax: (508) 675-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 23186 | Minnesota |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 58164 | Massachusetts |
Profile Details
| NPI number | 1750340808 |
|---|---|
| LBN Legal business name | Rucker, Richard Douglas |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Jun 19th, 2013 - about 11 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 | 1750340808 | NPPES |
| Massachusetts | Other | 58164 | MASSACHUSETTS LICENSE |
| Massachusetts | Other | 23186 | MASSACHUSETTS LICENSE |
| Massachusetts | MEDICAID | 993565700 | MASSACHUSETTS LICENSE |
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