Rucker, Sidra E

Rucker, Sidra E is an sole proprietor health care provider with primary practice located at 10910 N Penn Ave , Oklahoma City OK 73120-7610. She recently has 3 registered licenses in different health care specialties including Suppliers / Customized Equipment, Other Service Providers / Specialist, Other Service Providers / Prosthetics Case Management. Other Service Providers / Specialist is her primary health care specialty. Rucker, Sidra E can be contacted via phone (405) 906-9338.

Contact Information

Primary practice address
10910 N Penn Ave Oklahoma City OK 73120-7610
Phone: (405) 906-9338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Other Service Providers / Specialist 174400000X
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1891429148
LBN Legal business name Rucker, Sidra E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - about 2 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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