Individual
SARA B.L. JURGENS
Active
Individual
SARA B.L. JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002920
IL
363AS0400X
Surgical Physician Assistant
Primary
3220
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025480
KAISER COMMERCIAL NUMBER
CO
01
—
0739010001
MEDICARE NSC
IL
01
—
0739010005
MEDICARE NSC
IL
01
—
0739010006
MEDICARE NSC
IL
01
—
0739010008
MEDICARE NSC
IL
01
—
085002920
ST. OF IL LICENSE
IL
01
—
208592
MEDICARE LOCALITY 99
IL
01
—
208887
MEDICARE LOCALITY 15
IL
05
—
93159579
—
CO
01
—
CD4744
RAILROAD MEDICARE GROUP #
IL
01
—
P00408910
RAILROAD MEDICARE
IL
Enumeration date
02/01/2007
Last updated
06/02/2021
Update your record
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