Evanoff-Jurkovic, Marguerite

Evanoff-Jurkovic, Marguerite is an individual health care provider with primary practice located at 5401 Peach St Suite 3500, Erie PA 16509-2601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as her primary health care specialty. Evanoff-Jurkovic, Marguerite can be contacted via phone (814) 868-2179.

Contact Information

Primary practice address
5401 Peach St Suite 3500 Erie PA 16509-2601
Phone: (814) 868-2179
Fax: (814) 868-2346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X OS007988 Pennsylvania

Profile Details

NPI number 1962779447
LBN Legal business name Evanoff-Jurkovic, Marguerite
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Jan 5th, 2017 - about 8 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 1962779447 NPPES
Pennsylvania MEDICAID 0013065700005

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