Rugarber, Mark Richard

Rugarber, Mark Richard is an individual health care provider with primary practice located at 205 E. Hirst Road, Suite 203 , Purcellville VA 20132-6602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rugarber, Mark Richard can be contacted via phone (540) 751-0255.

Contact Information

Primary practice address
205 E. Hirst Road, Suite 203 Purcellville VA 20132-6602
Phone: (540) 751-0255
Fax: (540) 751-0466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F06211748 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024187734 Virginia

Profile Details

NPI number 1326619669
LBN Legal business name Rugarber, Mark Richard
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2021
Last updated Oct 18th, 2023 - about 3 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 1326619669 NPPES
Virginia MEDICAID 1326619669
Virginia MEDICAID 30015421980002

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