Michael Gene Rucker in Tenino - Orthotist
Michael Gene Rucker - NPI 1578642914
Michael Gene Rucker is a Orthotist in Tenino, Washington. Michael Gene Rucker practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Michael Gene Rucker is 1578642914. The last update date is 2007-12-17.
Michael Gene Rucker's current location address is 548 Sussex Ave W, Tenino, Washington. You can contact this provider via phone number 3602646553 and fax number 3602642621. The mailing address for Michael Gene Rucker is 548 Sussex Ave W, Tenino, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Gene Rucker |
|---|---|
| Address | 548 Sussex Ave W, Tenino, Washington |
| Phone Number | 3602646553 |
| Fax Number | 3602642621 |
| Sole Proprietor | Y |
| Credentials | LPO |
NPI Number Detail
| NPI Number | 1578642914 |
|---|---|
| Provider Enumeration Date | 2006-11-05 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 548 Sussex Ave W |
|---|---|
| City | Tenino |
| State | Washington (WA) |
| Post Code | 985899341 |
| Phone Number | 3602646553 |
| Fax Number | 3602642621 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
| Licence No | OI00082 |
|
Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6050SC | WA | REGENCE BS ID | |
| 9047440 | WA | DSHS ID | |
| 91-19414989 | WA | EIN | |
| 126134 | WA | LABOR & INDUSTRIES ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael Gene Rucker by the Centers for Medicare & Medicaid Services?
The Michael Gene Rucker has been issued the NPI (National Provider Identifier) 1578642914 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Michael Gene Rucker's facilities are situated?
The facilities of Michael Gene Rucker are physically located at the following address: 548 Sussex Ave W, Tenino, WA, 985899341.
What is Michael Gene Rucker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Gene Rucker is Orthotist, and the taxonomy code that categorizes this field of expertise is 222Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578642914 to Michael Gene Rucker?
The Centers for Medicare & Medicaid Services originally issued the 1578642914 to Michael Gene Rucker on 2006-11-05.
When was the information regarding Michael Gene Rucker most recently updated?
The details pertaining to the Michael Gene Rucker, including its address, specialty, and other relevant information, were last refreshed on 2007-12-17.