Rubenacker, Kenneth Wayne
Rubenacker, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 417 South Kingshighway , Sikeston MO 63801-2923. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Rubenacker, Kenneth Wayne can be contacted via phone (573) 471-7264.Contact Information
Primary practice address
417 South Kingshighway
Sikeston MO 63801-2923
Phone: (573) 471-7264
Fax: (573) 471-7264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 01570 | Missouri |
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 000803 | Missouri |
Profile Details
| NPI number | 1659409126 |
|---|---|
| LBN Legal business name | Rubenacker, Kenneth Wayne |
| Credentials | M.S., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1659409126 | NPPES |
| Missouri | Other | 45-00333 | UNITED HEALTHCARE |
| Missouri | Other | 121820 | UNITED HEALTHCARE |
| Missouri | Other | 531661 | UNITED HEALTHCARE |
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