Juergens, Paul Brian
Juergens, Paul Brian is an sole proprietor health care provider with primary practice located at 900 N Washington St , Du Quoin IL 62832-1233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Juergens, Paul Brian can be contacted via phone (573) 575-6440.Contact Information
Primary practice address
900 N Washington St
Du Quoin IL 62832-1233
Phone: (573) 575-6440
Fax: (618) 942-7399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 036067084 | Illinois |
Profile Details
| NPI number | 1922026673 |
|---|---|
| LBN Legal business name | Juergens, Paul Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 19th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922026673 | NPPES |
| Illinois | Other | 0010022254 | BLUE CROSS BLUE SHIELD |
| Illinois | Other | CH1495 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 036067084 | BLUE CROSS BLUE SHIELD |
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