Rucker, Ellen

Rucker, Ellen is an individual health care provider with primary practice located at 106 A Woodland Drive , Lancaster SC 29720. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Rucker, Ellen can be contacted via phone (803) 286-7746.

Contact Information

Primary practice address
106 A Woodland Drive Lancaster SC 29720
Fax: (803) 286-7748
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2792 South Carolina

Profile Details

NPI number 1316014194
LBN Legal business name Rucker, Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jan 5th, 2011 - about 15 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 1316014194 NPPES
South Carolina MEDICAID CH2792

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