Jurisich, Peter Daniel

Jurisich, Peter Daniel is an individual health care provider with primary practice located at 2 Medical Plaza Dr Ste 175 , Roseville CA 95661-3049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Jurisich, Peter Daniel can be contacted via phone (916) 782-2146.

Contact Information

Primary practice address
2 Medical Plaza Dr Ste 175 Roseville CA 95661-3049
Phone: (916) 782-2146
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 20A8542 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20A8542 California

Profile Details

NPI number 1629083407
LBN Legal business name Jurisich, Peter Daniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Feb 28th, 2014 - about 10 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 1629083407 NPPES
California MEDICAID 00AX85420
California Other 1671625
California Other 7450546
California Other 020A85420
California Other 2361104
California Other 4911481
California Other 95883
California Other 2121684
California Other 90136861
California Other 000810778930
California Other 102287
California Other 20A542

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