Rucker, Angela

Rucker, Angela is an individual health care provider with primary practice located at 1212 Bath Ave , Ashland KY 41101-2696. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Rucker, Angela can be contacted via phone (606) 329-8588.

Contact Information

Primary practice address
1212 Bath Ave Ashland KY 41101-2696
Phone: (606) 329-8588
Fax: (606) 329-8195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1891999009
LBN Legal business name Rucker, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Jul 8th, 2007 - about 19 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 1891999009 NPPES
Kentucky MEDICAID 30610026

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