Stuck, Judy

Stuck, Judy is an individual health care provider with primary practice located at 1850 Laurel Street Suite 1A, Columbia SC 29220-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Stuck, Judy can be contacted via phone (803) 376-5982.

Contact Information

Primary practice address
1850 Laurel Street Suite 1A Columbia SC 29220-0001
Phone: (803) 376-5982
Fax: (803) 376-5982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN275 South Carolina

Profile Details

NPI number 1285806109
LBN Legal business name Stuck, Judy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Jun 30th, 2021 - about 3 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 1285806109 NPPES
South Carolina MEDICAID NP1415

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