Jurek, Anthony W

Jurek, Anthony W is an sole proprietor health care provider with primary practice located at 7411 W Coldspring Rd , Greenfield WI 53220-2813. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jurek, Anthony W can be contacted via phone (414) 328-1338.

Contact Information

Primary practice address
7411 W Coldspring Rd Greenfield WI 53220-2813
Phone: (414) 328-1338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1869-057 Wisconsin
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1407029507
LBN Legal business name Jurek, Anthony W
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 17 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 1407029507 NPPES
Wisconsin MEDICAID 39117600

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