Shutsy, Jerry J.

Shutsy, Jerry J. is an individual health care provider with primary practice located at 661 W Main St Uniontown Dental Care Pc, Uniontown PA 15401-2646. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shutsy, Jerry J. can be contacted via phone (724) 439-4444.

Contact Information

Primary practice address
661 W Main St Uniontown Dental Care Pc Uniontown PA 15401-2646
Phone: (724) 439-4444
Fax: (724) 439-4449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS023029L Pennsylvania

Profile Details

NPI number 1558349993
LBN Legal business name Shutsy, Jerry J.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1558349993 NPPES
Pennsylvania MEDICAID 1007529750001
Pennsylvania Other 025817

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