John J Jucas in El Dorado - Specialist

John J Jucas - NPI 1295849495

John J Jucas is a Specialist in El Dorado, Arkansas. John J Jucas practices all healthcare services and medical treatments related to Specialist. The NPI Number for John J Jucas is 1295849495. The last update date is 2007-07-08.

John J Jucas's current location address is 525 W Faulkner St, El Dorado, Arkansas. You can contact this provider via phone number 8708625485 and fax number 8708635242. The mailing address for John J Jucas is 525 W Faulkner St, El Dorado, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Jucas
Address 525 W Faulkner St, El Dorado, Arkansas
Phone Number 8708625485
Fax Number 8708635242
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1295849495
Provider Enumeration Date 2006-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 525 W Faulkner St
City El Dorado
State Arkansas (AR)
Post Code 717304518
Phone Number 8708625485
Fax Number 8708635242

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No C4839
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
52777 AR BLUECROSS BLUESHIELD
710543368 AR TRICARE
14299000000 AR QUALCHOICE
106151001 AR --
1911194 LA --
24614 LA BLUECROSS BLUESHIELD

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FAQs about John J Jucas

What is the unique identifier code issued to John J Jucas by the Centers for Medicare & Medicaid Services (CMS)?

The John J Jucas has been assigned the NPI (National Provider Identifier) 1295849495. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where John J Jucas's facilities are geographically located?

The facilities of John J Jucas are physically situated at the following location: 525 W Faulkner St, El Dorado, AR, 717304518.

What is John J Jucas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John J Jucas is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

When did John J Jucas receive its 1295849495 assignment?

The John J Jucas was assigned its 1295849495 on 2006-08-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to John J Jucas last refreshed?

The information related to the John J Jucas, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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