Jurado, Jerry L
Jurado, Jerry L is an sole proprietor health care provider with primary practice located at 2401 Palisade Ave , Union City NJ 07087-4525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jurado, Jerry L can be contacted via phone (201) 867-5791.Contact Information
Primary practice address
2401 Palisade Ave
Union City NJ 07087-4525
Phone: (201) 867-5791
Fax: (201) 223-1905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA62530 | New Jersey |
Profile Details
| NPI number | 1720004021 |
|---|---|
| LBN Legal business name | Jurado, Jerry L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 14th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720004021 | NPPES |
| New Jersey | MEDICAID | 6689507 |
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