Jursa, Paula J
Jursa, Paula J is an individual health care provider with primary practice located at 145 Lisbon St Suite 606, Lewiston ME 04240-7247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Jursa, Paula J can be contacted via phone (207) 333-7141.Contact Information
Primary practice address
145 Lisbon St Suite 606
Lewiston ME 04240-7247
Phone: (207) 333-7141
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LC2729 | Maine |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | XL2968 | Maine |
Profile Details
NPI number | 1437297702 |
---|---|
LBN Legal business name | Jursa, Paula J |
Credentials | LCPC-C, LADC, CCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2007 |
Last updated | Aug 25th, 2008 - about 16 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 | 1437297702 | NPPES |
Maine | MEDICAID | 412220099 | |
Maine | Other | 201215 |
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