Hutchinson, Jeffrey Wade

Hutchinson, Jeffrey Wade is an individual health care provider with primary practice located at 1101 Camino La Costa , Austin TX 78752-3930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Hutchinson, Jeffrey Wade can be contacted via phone (512) 684-1832.

Contact Information

Primary practice address
1101 Camino La Costa Austin TX 78752-3930
Phone: (512) 684-1832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD9244 Hawaii
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X R8914 Texas

Profile Details

NPI number 1477545408
LBN Legal business name Hutchinson, Jeffrey Wade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Feb 22nd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477545408 NPPES
Texas MEDICAID 766253

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