Rourke, Leo

Rourke, Leo is an individual health care provider with primary practice located at 9075 Sandidge Center Cv , Olive Branch MS 38654-3514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rourke, Leo can be contacted via phone (662) 893-8484.

Contact Information

Primary practice address
9075 Sandidge Center Cv Olive Branch MS 38654-3514
Phone: (662) 893-8484
Fax: (662) 893-1103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000006732 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 901896 Mississippi

Profile Details

NPI number 1578552188
LBN Legal business name Rourke, Leo
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 9th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578552188 NPPES
Tennessee Other 3903211 FEDERAL MEDICARE NUMBER

Popular Providers