Clusky, Chaz Austin
Clusky, Chaz Austin is an sole proprietor health care provider with primary practice located at 700 Bob O Link Dr , Lexington KY 40504-3756. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Clusky, Chaz Austin can be contacted via phone (859) 258-8575.Contact Information
Primary practice address
700 Bob O Link Dr
Lexington KY 40504-3756
Phone: (859) 258-8575
Fax: (859) 258-8562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | TC320 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA3071 | Kentucky |
Profile Details
| NPI number | 1063153492 |
|---|---|
| LBN Legal business name | Clusky, Chaz Austin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2022 |
| Last updated | Oct 16th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063153492 | NPPES |
| Kentucky | MEDICAID | 7100855140 |
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