Jurkowski, Joan Mesmeringer
Jurkowski, Joan Mesmeringer is an sole proprietor health care provider with primary practice located at 3313 Paper Mill Rd Suite 5, Phoenix MD 21131-1465. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jurkowski, Joan Mesmeringer can be contacted via phone (410) 790-9604.Contact Information
Primary practice address
3313 Paper Mill Rd Suite 5
Phoenix MD 21131-1465
Phone: (410) 790-9604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LC0271 | Maryland |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ACO998 | Maryland |
Profile Details
| NPI number | 1124122247 |
|---|---|
| LBN Legal business name | Jurkowski, Joan Mesmeringer |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Nov 30th, 2016 - about 10 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 | 1124122247 | NPPES |
| Maryland | Other | 002627 | BEACON HEALTH |
| Maryland | Other | 152866 | BEACON HEALTH |
| Maryland | MEDICAID | 446530000 | BEACON HEALTH |
| Maryland | Other | R8950001 | BEACON HEALTH |
| Maryland | Other | 2282454 | BEACON HEALTH |
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