Jurek, Benjamin Kenneth

Jurek, Benjamin Kenneth is an sole proprietor health care provider with primary practice located at 4801 Vetrans Drive , St. Cloud MN 56303. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jurek, Benjamin Kenneth can be contacted via phone (320) 252-1670.

Contact Information

Primary practice address
4801 Vetrans Drive St. Cloud MN 56303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5215 Minnesota

Profile Details

NPI number 1568616019
LBN Legal business name Jurek, Benjamin Kenneth
Credentials PSY.D, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2008
Last updated Mar 26th, 2010 - 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 1568616019 NPPES
Minnesota Other 65Q84VE VA MEDICAL CENTER

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