Stucky, Jay R
Stucky, Jay R is an sole proprietor health care provider with primary practice located at 3005 Sierra Pkwy , Hutchinson KS 67502-2972. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stucky, Jay R can be contacted via phone (620) 663-9119.Contact Information
Primary practice address
3005 Sierra Pkwy
Hutchinson KS 67502-2972
Phone: (620) 663-9119
Fax: (620) 663-2225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6855 | Kansas |
Profile Details
| NPI number | 1114021508 |
|---|---|
| LBN Legal business name | Stucky, Jay R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114021508 | NPPES |
| Kansas | Other | 17393 | BCBS PVDR NUMBER |
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