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Contact Information

BRIAN J JURIGA, DO
29804 LAKESHORE BLVD.
WILLOWICK, OH44095
 Phone: 440-833-2010
 Fax: 440-833-2096
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRIAN J JURIGA · (Male)

NPI # 1245290204
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/24/2006
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34-008540
  • OH Other 000000385887 ANTHEM
  • OH Other 264200000 DEPT OF LABOR
  • OH Other 264200000 FEDERAL BLACK LUNG
  • OH Other 341425870042 MEDICAL MUTUAL OF OHIO
  • OH Other 6600162 UNITED HEALTHCARE
Hospital affiliation(s)
  • LAKE HEALTH - (Acute Care)
    7590 AUBURN ROAD
    CONCORD, OH 44077
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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