Jurgens, Sara B.L.
Jurgens, Sara B.L. is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Jurgens, Sara B.L. can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
10240 Park Meadows Dr
Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3220 | Colorado |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085002920 | Illinois |
Profile Details
NPI number | 1790823078 |
---|---|
LBN Legal business name | Jurgens, Sara B.L. |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2007 |
Last updated | Jun 2nd, 2021 - about 3 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 | 1790823078 | NPPES |
Illinois | Other | 0739010001 | MEDICARE NSC |
Illinois | Other | 0739010005 | MEDICARE NSC |
Illinois | Other | 0739010008 | MEDICARE NSC |
Illinois | Other | CD4744 | MEDICARE NSC |
Illinois | Other | 208887 | MEDICARE NSC |
Illinois | Other | 0739010006 | MEDICARE NSC |
Illinois | Other | 208592 | MEDICARE NSC |
Illinois | Other | P00408910 | MEDICARE NSC |
Illinois | Other | 025480 | MEDICARE NSC |
Illinois | Other | 085002920 | MEDICARE NSC |
Illinois | MEDICAID | 93159579 | MEDICARE NSC |
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