Jucas, Diana T.

Jucas, Diana T. is an individual health care provider with primary practice located at 700 W Grove St , El Dorado AR 71730-4416. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jucas, Diana T. can be contacted via phone (870) 862-1577.

Contact Information

Primary practice address
700 W Grove St El Dorado AR 71730-4416
Phone: (870) 862-1577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C4290 Arkansas

Profile Details

NPI number 1255448601
LBN Legal business name Jucas, Diana T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 15th, 2007 - about 18 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 1255448601 NPPES
Arkansas Other 5C070 GRP.'S AR MCARE PROV.#
Arkansas Other C4290 GRP.'S AR MCARE PROV.#

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