Rucker, Andrew Conrad
Rucker, Andrew Conrad is an sole proprietor health care provider with primary practice located at 3269 N Stockton Hill Rd , Kingman AZ 86409-3619. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rucker, Andrew Conrad can be contacted via phone (928) 757-2101.Contact Information
Primary practice address
3269 N Stockton Hill Rd
Kingman AZ 86409-3619
Phone: (928) 757-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP9899 | Arizona |
Profile Details
| NPI number | 1083150015 |
|---|---|
| LBN Legal business name | Rucker, Andrew Conrad |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2017 |
| Last updated | Feb 8th, 2017 - about 9 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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