MEDICARE: DR. ROCKY VANNUCCI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1042	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	350008095	OTHER	AR	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4420017	OTHER	AR	UNITED HEALTHCARE
3	5362237	OTHER	AR	AETNA
4	CP43510	OTHER	AR	UNION PACIFIC RAILROAD
5	59926	OTHER	AR	BLUE CROSS BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871544296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROCKY VANNUCCI D.C.

Provider Business Mailing Address
First Line	:	401 N ROCK ST
Second Line	:
City	:	SHERIDAN
State	:	AR
Zip	:	72150-2227
Country	:	US
Telephone Number	:	870-942-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N ROCK ST
Second Line	:
City	:	SHERIDAN
State	:	AR
Zip	:	72150-2227
Country	:	US
Telephone Number	:	870-942-4646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	06/08/2012

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Directions to “ DR. ROCKY VANNUCCI D.C.” Practice Location

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