Jurich, Brenda B

Jurich, Brenda B is an individual health care provider with primary practice located at 1701 S Creasy Ln , Lafayette IN 47905-4972. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Jurich, Brenda B can be contacted via phone (765) 446-4819.

Contact Information

Primary practice address
1701 S Creasy Ln Lafayette IN 47905-4972
Phone: (765) 446-4819
Fax: (765) 446-4859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01033781A Indiana

Profile Details

NPI number 1376512327
LBN Legal business name Jurich, Brenda B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 2nd, 2011 - about 14 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 1376512327 NPPES
Indiana Other 000000524004 ANTHEM
Indiana MEDICAID 200041260 ANTHEM
Indiana Other P00414329 ANTHEM

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