Jurek, Thomas Joseph

Jurek, Thomas Joseph is an individual health care provider with primary practice located at 3911 Pierce Ave , Cheyenne WY 82001-2133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jurek, Thomas Joseph can be contacted via phone (307) 634-6455.

Contact Information

Primary practice address
3911 Pierce Ave Cheyenne WY 82001-2133
Phone: (307) 634-6455
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Wyoming

Profile Details

NPI number 1538120662
LBN Legal business name Jurek, Thomas Joseph
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1538120662 NPPES
South Dakota MEDICAID 6820052

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