Jucas, John J
Jucas, John J is an sole proprietor health care provider with primary practice located at John J. Jucas M.D. 6121 Fern Ave Unit 107, Shreveport LA 71105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jucas, John J can be contacted via phone (318) 617-3667.Contact Information
Primary practice address
John J. Jucas M.D. 6121 Fern Ave Unit 107
Shreveport LA 71105
Phone: (318) 617-3667
Fax: (870) 863-5242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD.206362 | Louisiana |
| Other Service Providers / Specialist | 174400000X | C4839 | Arkansas |
Profile Details
| NPI number | 1295849495 |
|---|---|
| LBN Legal business name | Jucas, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jun 3rd, 2024 - about 3 months 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 | 1295849495 | NPPES |
| Louisiana | Other | 24614 | BLUECROSS BLUESHIELD |
| Louisiana | MEDICAID | 1911194 | BLUECROSS BLUESHIELD |
| Louisiana | MEDICAID | 106151001 | BLUECROSS BLUESHIELD |
| Louisiana | Other | 14299000000 | BLUECROSS BLUESHIELD |
| Louisiana | Other | 52777 | BLUECROSS BLUESHIELD |
| Louisiana | Other | 710543368 | BLUECROSS BLUESHIELD |
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