Schurgast, Jeffrey Allen

Schurgast, Jeffrey Allen is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Schurgast, Jeffrey Allen can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.141206 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1100455.SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.1100455.SUPV Ohio

Profile Details

NPI number 1639563844
LBN Legal business name Schurgast, Jeffrey Allen
Credentials LPCC-S, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2015
Last updated Feb 9th, 2017 - 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 1639563844 NPPES
Ohio Other 0074861 MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
Ohio Other 0074946 MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
Ohio Other 01-0693 MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
Ohio Other H130910 MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY

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