Provider Demographics
NPI:1851169338
Name:HUTCHISON, JEFFREY RAYMOND
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:RAYMOND
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 SANDUSKY ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2033
Mailing Address - Country:US
Mailing Address - Phone:419-281-3788
Mailing Address - Fax:877-277-3297
Practice Address - Street 1:270 SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2033
Practice Address - Country:US
Practice Address - Phone:419-281-3788
Practice Address - Fax:877-277-3297
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator