Rueckert, Sebastian A.

Rueckert, Sebastian A. is an individual health care provider with primary practice located at 901 E 5Th St , Washington MO 63090-3127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rueckert, Sebastian A. can be contacted via phone (636) 239-8011.

Contact Information

Primary practice address
901 E 5Th St Washington MO 63090-3127
Phone: (636) 239-8011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2008027335 Missouri

Profile Details

NPI number 1356415863
LBN Legal business name Rueckert, Sebastian A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jan 9th, 2024 - about last year

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 1356415863 NPPES
Illinois MEDICAID 036093636
Illinois MEDICAID 1356415863
Illinois Other SR075171
Illinois Other SR075171
Illinois MEDICAID 469031210
Illinois Other 010H262530

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