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NPI Code Detail

MEDICARE: JOE RUFFCORN

MEDICARE: JOE RUFFCORN
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1942920038
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOE RUFFCORN
Provider Business Mailing Address
First Line : 1715 N DELAWARE AVE
Second Line :
City : YORK
State : NE
Zip : 68467-1202
Country : US
Telephone Number : 402-362-6655
Fax Number :
Provider Business Practice Location Address
First Line : 1715 N DELAWARE AVE
Second Line :
City : YORK
State : NE
Zip : 68467-1202
Country : US
Telephone Number : 402-362-6655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2022
Last Update Date : 08/30/2022

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Directions to “ JOE RUFFCORN ” Practice Location

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