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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
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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