National Provider Identifier Database

THE RUTHERFORD MEDICAL CLINIC LLC
Family


Contact Information

THE RUTHERFORD MEDICAL CLINIC LLC
104 E MAIN ST
RUTHERFORD, TN38369-9711
Phone: 731-665-7741
Fax: 731-665-7750
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for THE RUTHERFORD MEDICAL CLINIC LLC

NPI Number 1972772242
Legal business name
LBN
THE RUTHERFORD MEDICAL CLINIC LLC
Authorized official RUSSELL LITTLE - (PROVIDER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/20/2008
Last updated 08/05/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • TN Medicaid: 5442152

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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