Jurgensen, J Craig
Jurgensen, J Craig is an individual health care provider with primary practice located at 850 Walnut Bottom Rd Belvedere Medical Corporation, Carlisle PA 17013-3698. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jurgensen, J Craig can be contacted via phone (717) 243-3944.Contact Information
Primary practice address
850 Walnut Bottom Rd Belvedere Medical Corporation
Carlisle PA 17013-3698
Phone: (717) 243-3944
Fax: (717) 243-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD013784E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD013784E | Pennsylvania |
Profile Details
| NPI number | 1326023094 |
|---|---|
| LBN Legal business name | Jurgensen, J Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326023094 | NPPES |
| Pennsylvania | MEDICAID | 0006563300001 | |
| Pennsylvania | Other | 144634 | |
| Pennsylvania | Other | 01634102 |
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