Individual
JURIS SIMANIS
Active
Individual
JURIS SIMANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101024751
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006099467
—
VA
01
—
200026
LUNG
—
01
—
282211
ANTHEM
VA
01
—
5258798
CCN
—
01
—
5357280
AETNA
—
01
—
541839718
C&O
—
01
—
54183971800
WV WORKERS COMPENSATION
WV
01
—
541839718027
BS MOUNTAIN STATE
VA
01
—
58030
SOUTHERN HEALTH
—
01
—
6610094
CIGNA
—
Enumeration date
06/16/2005
Last updated
10/15/2011
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