Jurgelsky, Debbie Mary
Jurgelsky, Debbie Mary is an individual health care provider with primary practice located at 4540 Ambassador Caffery Pkwy Suite A-2Oo, Lafayette LA 70508-6928. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jurgelsky, Debbie Mary can be contacted via phone (337) 988-2929.Contact Information
Primary practice address
4540 Ambassador Caffery Pkwy Suite A-2Oo
Lafayette LA 70508-6928
Phone: (337) 988-2929
Fax: (337) 988-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 017289 | Louisiana |
Profile Details
| NPI number | 1215936976 |
|---|---|
| LBN Legal business name | Jurgelsky, Debbie Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215936976 | NPPES |
| Louisiana | Other | 07-00176 | UNITED HEALTH CARE |
| Louisiana | MEDICAID | 1369861 | UNITED HEALTH CARE |
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