Van Jura, Jodi Lynne

Van Jura, Jodi Lynne is an individual health care provider with primary practice located at 4000 Miamisburg Centerville Rd Suite 410, Miamisburg OH 45342-7615. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Van Jura, Jodi Lynne can be contacted via phone (937) 384-8773.

Contact Information

Primary practice address
4000 Miamisburg Centerville Rd Suite 410 Miamisburg OH 45342-7615
Phone: (937) 384-8773
Fax: (937) 384-0794
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 35079730 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.079730 Ohio

Profile Details

NPI number 1023122157
LBN Legal business name Van Jura, Jodi Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Nov 16th, 2022 - about 3 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 1023122157 NPPES
Ohio MEDICAID 2350950

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