Nicholas Dewayne Rucker in Little Rock - Case Manager/care Coordinator

Nicholas Dewayne Rucker - NPI 1700046059

Nicholas Dewayne Rucker is a Case Manager/care Coordinator in Little Rock, Arkansas. Nicholas Dewayne Rucker practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Nicholas Dewayne Rucker is 1700046059. The last update date is 2008-06-11.

Nicholas Dewayne Rucker's current location address is 6425 W 12th St, Little Rock, Arkansas. You can contact this provider via phone number 5016667233 and fax number 5016606834. The mailing address for Nicholas Dewayne Rucker is 6425 W 12th St, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicholas Dewayne Rucker
Address 6425 W 12th St, Little Rock, Arkansas
Phone Number 5016667233
Fax Number 5016606834
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1700046059
Provider Enumeration Date 2008-06-11
Last Updated Date 2008-06-11

Provider Mailing Address Detail

Address 6425 W 12th St
City Little Rock
State Arkansas (AR)
Post Code 722041509
Phone Number 5016667233
Fax Number 5016606834

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

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FAQs about Nicholas Dewayne Rucker

What is the unique provider identifier assigned to Nicholas Dewayne Rucker?

The Nicholas Dewayne Rucker has been issued the NPI (National Provider Identifier) 1700046059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Nicholas Dewayne Rucker?

The Nicholas Dewayne Rucker is situated at 6425 W 12Th St, in the city of Little Rock, state of AR, with the zip code 722041509.

What is Nicholas Dewayne Rucker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nicholas Dewayne Rucker is Case Manager/care Coordinator, and the taxonomy code that classifies this field of practice is 171M00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1700046059 to Nicholas Dewayne Rucker?

The Nicholas Dewayne Rucker received its 1700046059 assignment from the Centers for Medicare & Medicaid Services on 2008-06-11.

As of what date were the details related to Nicholas Dewayne Rucker most recently updated or revised?

The information pertaining to Nicholas Dewayne Rucker, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-11.

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