Todd, John Rucker

Todd, John Rucker is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine Inf Diseases, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Todd, John Rucker can be contacted via phone (318) 675-5900.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine Inf Diseases Shreveport LA 71103-4228
Phone: (318) 675-5900
Fax: (318) 675-5907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 06910R Louisiana

Profile Details

NPI number 1730101205
LBN Legal business name Todd, John Rucker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730101205 NPPES
Louisiana MEDICAID 1380431

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