Juracek, Kimberly L
Juracek, Kimberly L is an individual health care provider with primary practice located at 501 W Havens St , Mitchell SD 57301-4334. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Juracek, Kimberly L can be contacted via phone (605) 996-1078.Contact Information
Primary practice address
501 W Havens St
Mitchell SD 57301-4334
Phone: (605) 996-1078
Fax: (605) 996-3703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 909 | South Dakota |
Profile Details
| NPI number | 1790763720 |
|---|---|
| LBN Legal business name | Juracek, Kimberly L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Feb 27th, 2013 - about 11 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 | 1790763720 | NPPES |
| South Dakota | Other | 0041209 | BLUE CROSS BLUE SHIELD |
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