Jurnecka, Jan Steven
Jurnecka, Jan Steven is an sole proprietor health care provider with primary practice located at 1505 Soquel Dr Ste 3 , Santa Cruz CA 95065-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jurnecka, Jan Steven can be contacted via phone (831) 462-9810.Contact Information
Primary practice address
1505 Soquel Dr Ste 3
Santa Cruz CA 95065-1716
Phone: (831) 462-9810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G52392 | California |
Profile Details
| NPI number | 1619090883 |
|---|---|
| LBN Legal business name | Jurnecka, Jan Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1619090883 | NPPES |
| California | MEDICAID | 00G523920 |
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