Rucker, Joseph W

Rucker, Joseph W is an individual health care provider with primary practice located at 3221 Stein Blvd , Eau Claire WI 54701-4398. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Rucker, Joseph W can be contacted via phone (715) 833-2116.

Contact Information

Primary practice address
3221 Stein Blvd Eau Claire WI 54701-4398
Phone: (715) 833-2116
Fax: (715) 833-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26172 Wisconsin

Profile Details

NPI number 1215933643
LBN Legal business name Rucker, Joseph W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215933643 NPPES
Wisconsin Other 1300044 MEDICA
Wisconsin MEDICAID 30593200 MEDICA
Wisconsin Other 391528316014 MEDICA

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