Provider Demographics
NPI:1902816465
Name:BJUR, CYNTHIA S (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:BJUR
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 19TH AVE SW
Mailing Address - Street 2:JANNING ENT CENTER
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-4946
Mailing Address - Country:US
Mailing Address - Phone:320-214-5772
Mailing Address - Fax:320-214-5758
Practice Address - Street 1:1801 19TH AVE SW
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4946
Practice Address - Country:US
Practice Address - Phone:320-214-5772
Practice Address - Fax:320-214-5758
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7338231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN49F30SWOtherBLUE CROSS/BLUE SHIELD
MN658714300Medicaid
MNP00100632OtherRAILROAD MEDICARE
MNHP34525OtherHEALTH PARTNERS, INC
MN45-00121OtherMEDICA PRIMARY
MN45-00123OtherMEDICA CHOICE/SELECT CARE
MN658714300Medicaid