Jukich, Michael P

Jukich, Michael P is an individual health care provider with primary practice located at 5801 S Mcclintock Dr 110, Tempe AZ 85283-6002. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Jukich, Michael P can be contacted via phone (480) 777-0900.

Contact Information

Primary practice address
5801 S Mcclintock Dr 110 Tempe AZ 85283-6002
Phone: (480) 777-0900
Fax: (480) 777-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1215971601
LBN Legal business name Jukich, Michael P
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 18th, 2009 - about 15 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 1215971601 NPPES
Arizona MEDICAID 132176

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