Jurrens, Emma B
Jurrens, Emma B is an sole proprietor health care provider with primary practice located at 1320 Central Park Blvd Suite 231, Fredericksburg VA 22401-4942. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jurrens, Emma B can be contacted via phone (540) 446-6567.Contact Information
Primary practice address
1320 Central Park Blvd Suite 231
Fredericksburg VA 22401-4942
Phone: (540) 446-6567
Fax: (540) 657-1439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810003385 | Virginia |
Profile Details
| NPI number | 1588799514 |
|---|---|
| LBN Legal business name | Jurrens, Emma B |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jun 12th, 2008 - 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 | 1588799514 | NPPES |
| Other | 11505138 | CAQH CREDENTIALING ID | |
| Other | 0810003385 | CAQH CREDENTIALING ID | |
| Other | 185172 | CAQH CREDENTIALING ID |
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