Rucker, John P

Rucker, John P is an individual health care provider with primary practice located at 6885 Cliffdale Rd , Fayetteville NC 28314-2833. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Rucker, John P can be contacted via phone (910) 339-0400.

Contact Information

Primary practice address
6885 Cliffdale Rd Fayetteville NC 28314-2833
Phone: (910) 339-0400
Fax: (910) 339-0396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1230 North Carolina

Profile Details

NPI number 1821080292
LBN Legal business name Rucker, John P
Credentials PHD ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 13th, 2012 - about 14 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 1821080292 NPPES
North Carolina Other 0384W BSBCNC
North Carolina MEDICAID 6000078 BSBCNC
North Carolina Other 680011983 BSBCNC

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