Shurberg, Jonathan L

Shurberg, Jonathan L is an individual health care provider with primary practice located at 8640 Sudley Rd Ste 201 , Manassas VA 20110-4404. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shurberg, Jonathan L can be contacted via phone (703) 368-6819.

Contact Information

Primary practice address
8640 Sudley Rd Ste 201 Manassas VA 20110-4404
Phone: (703) 368-6819
Fax: (703) 330-2923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101027526 Virginia

Profile Details

NPI number 1417952227
LBN Legal business name Shurberg, Jonathan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Oct 5th, 2012 - about 12 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 1417952227 NPPES
Virginia Other 2277940001 CIGNA
Virginia MEDICAID 006065155 CIGNA
Virginia Other 071108 CIGNA
Virginia Other 34542 CIGNA
Virginia Other 92130001 CIGNA
Virginia Other 071112 CIGNA

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