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Evan Jurjevic

Physical Therapist - Sports

3946 Ice Way
Fort Wayne , Indiana 46805-1018

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Evan Jurjevic

Physical Therapist - Sports

3946 Ice Way
Fort Wayne , Indiana 46805-1018

Write a Review Save Call

Evan Jurjevic

Physical Therapist - Sports

3946 Ice Way
Fort Wayne , Indiana 46805-1018

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist - Sports

Languages spoken

  • English

Location

3946 Ice Way Fort Wayne , Indiana 46805-1018

First Address

  • Evan Jurjevic
  • 11109 Parkview Plaza Dr # 117
  • Fort Wayne, IN
  • Zip : 46845-1701
  • Phone :

Second Address

  • Evan Jurjevic
  • 3946 Ice Way
  • Fort Wayne, IN
  • Zip : 46805-1018
  • Phone : (260) 266-4007

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FAQs


Where did Evan Jurjevic attend graduate school?

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Where did Evan Jurjevic do his residency?

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Where did Evan Jurjevic do his fellowship?

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Is Evan Jurjevic board certified?

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What type of doctor is Evan Jurjevic

Physical Therapist - Sports

In what state does Evan Jurjevic practice in?

Indiana

Where is Evan Jurjevic ’s practice located?

3946 Ice Way , Fort Wayne, Indiana, 46805-1018

What is Evan Jurjevic ’s gender?

Male

Is Evan Jurjevic a sole practitioner?

No

Is Evan Jurjevic accepting new patients?

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What languages does Evan Jurjevic speak?

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Does Evan Jurjevic accept insurance?

Yes, Evan Jurjevic accepts insurance

Does Evan Jurjevic offers telemedicine?

Evan Jurjevic has not indicated if he offers telemedicine

What is Evan Jurjevic ’s professional license number?

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What is Evan Jurjevic ’s NPI number?

1154990893

Does Evan Jurjevic have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2251S0007X Physical Therapist - Sports 05014201A IN

National Provider Identifier

NPI 1154990893
Provider Name Evan Jurjevic
First Address Fort Wayne, IN 46845-1701
Second Address Fort Wayne, IN 46805-1018
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 17/06/2021
Last Update Date 30/06/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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