Jurik, John
Jurik, John is an individual health care provider with primary practice located at 1500 Portland Ave , Rochester NY 14621-3065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jurik, John can be contacted via phone (585) 697-6000.Contact Information
Primary practice address
1500 Portland Ave
Rochester NY 14621-3065
Phone: (585) 697-6000
Fax: (585) 342-9166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 146563 | New York |
Profile Details
| NPI number | 1649276676 |
|---|---|
| LBN Legal business name | Jurik, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 21st, 2016 - about 9 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 | 1649276676 | NPPES |
| New York | MEDICAID | 00631838 |
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