Jurkovic, Edward James
Jurkovic, Edward James is an individual health care provider with primary practice located at 16410 Healthpark Commons Dr , Fort Myers FL 33908-9621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jurkovic, Edward James can be contacted via phone (239) 343-6202.Contact Information
Primary practice address
16410 Healthpark Commons Dr
Fort Myers FL 33908-9621
Phone: (239) 343-6202
Fax: (239) 437-8537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | OS16255 | Florida |
Profile Details
| NPI number | 1558360842 |
|---|---|
| LBN Legal business name | Jurkovic, Edward James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 29th, 2021 - about 5 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 | 1558360842 | NPPES |
| Illinois | MEDICAID | 036085033 | |
| Illinois | MEDICAID | 104146500 |
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