Jurrens, Thomas J

Jurrens, Thomas J is an individual health care provider with primary practice located at 16901 Lakeside Hills Ct , Omaha NE 68130-2318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jurrens, Thomas J can be contacted via phone (402) 552-3022.

Contact Information

Primary practice address
16901 Lakeside Hills Ct Omaha NE 68130-2318
Phone: (402) 552-3022
Fax: (402) 552-3266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 22753 Nebraska
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 47520 Minnesota

Profile Details

NPI number 1558331108
LBN Legal business name Jurrens, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 1st, 2009 - about 17 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 1558331108 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID 10025166200
Iowa Other P00226461
Iowa Other 07284
Iowa MEDICAID 35173900
Iowa MEDICAID 761174900

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