Rudder, James Kevin
Rudder, James Kevin is an sole proprietor health care provider with primary practice located at 1005 N Jackson Ste B , Magnolia AR 71753-2447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Rudder, James Kevin can be contacted via phone (870) 235-3200.Contact Information
Primary practice address
1005 N Jackson Ste B
Magnolia AR 71753-2447
Phone: (870) 235-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | E2959 | Arkansas |
Profile Details
| NPI number | 1639163959 |
|---|---|
| LBN Legal business name | Rudder, James Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Apr 27th, 2022 - about 3 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 | 1639163959 | NPPES |
| Arkansas | Other | 200042255 | RAILROAD MEDICARE |
| Arkansas | MEDICAID | 143805001 | RAILROAD MEDICARE |
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