Jurik, John

Jurik, John is an individual health care provider with primary practice located at 1500 Portland Ave , Rochester NY 14621-3065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jurik, John can be contacted via phone (585) 697-6000.

Contact Information

Primary practice address
1500 Portland Ave Rochester NY 14621-3065
Phone: (585) 697-6000
Fax: (585) 342-9166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 146563 New York

Profile Details

NPI number 1649276676
LBN Legal business name Jurik, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 21st, 2016 - about 9 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 1649276676 NPPES
New York MEDICAID 00631838

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