Rucker, Mark R.

Rucker, Mark R. is an sole proprietor health care provider with primary practice located at 6642 Wells Circle , Springdale AR 72762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rucker, Mark R. can be contacted via phone (479) 409-7366.

Contact Information

Primary practice address
6642 Wells Circle Springdale AR 72762
Phone: (479) 409-7366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-0609 Arkansas

Profile Details

NPI number 1417908401
LBN Legal business name Rucker, Mark R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2006
Last updated Mar 16th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417908401 NPPES
Arkansas MEDICAID 1315552001

Popular Providers