Provider Demographics
NPI:1518059005
Name:HUTCHINS, JOEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:F
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:GORDON
Mailing Address - State:NE
Mailing Address - Zip Code:69343-1132
Mailing Address - Country:US
Mailing Address - Phone:308-282-1442
Mailing Address - Fax:308-282-1428
Practice Address - Street 1:807 N ASH ST
Practice Address - Street 2:
Practice Address - City:GORDON
Practice Address - State:NE
Practice Address - Zip Code:69343-1132
Practice Address - Country:US
Practice Address - Phone:308-282-1442
Practice Address - Fax:308-282-1428
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12164207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NENE12164Medicaid
NEP00068446OtherRRD MEDICARE
NE6375OtherMIDLANDS CHOICE
NE01012OtherBCBS
SD7761452OtherSD MEDICAID
SD7761452OtherSD MEDICAID
NE01012OtherBCBS