Dr. Brian Joseph Juriga
Family Doctor - Sports Medicine
29804 Lakeshore Blvd.
Willowick
, Ohio 44095
Dr. Brian Joseph Juriga
Family Doctor - Sports Medicine
29804 Lakeshore Blvd.
Willowick
, Ohio 44095
(440) 833-2010
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Brian Joseph Juriga
- 29804 Lake Shore Blvd
- Willowick, OH
- Zip : 44095-4611
- Phone : (440) 833-2010
Second Address
- Dr. Brian Joseph Juriga
- 29804 Lakeshore Blvd.
- Willowick, OH
- Zip : 44095
- Fax : (440) 833-2096
- Phone : (440) 833-2010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 34-008540 | OH |
National Provider Identifier
| NPI | 1245290204 |
|---|---|
| Provider Name | Dr. Brian Joseph Juriga |
| First Address | Willowick, OH 44095-4611 |
| Second Address | Willowick, OH 44095 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 25/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000385887 | ANTHEM (01) | OH |
| 264200000 | DEPT OF LABOR (01) | OH |
| 264200000 | FEDERAL BLACK LUNG (01) | OH |
| 341425870042 | MEDICAL MUTUAL OF OHIO (01) | OH |
| 6600162 | UNITED HEALTHCARE (01) | OH |
| I48443 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.