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:
Health care specialties
Specialty | Code | License # | 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 13 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 | 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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