Provider Demographics
NPI:1801068945
Name:JURKOVSKIS, PETER (DOCTOR OF CHIROPRACT)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:JURKOVSKIS
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 SOUTH SCENIC AVENUE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-5074
Mailing Address - Country:US
Mailing Address - Phone:417-863-8020
Mailing Address - Fax:417-883-8704
Practice Address - Street 1:738 SOUTH SCENIC AVENUE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-5074
Practice Address - Country:US
Practice Address - Phone:417-863-8020
Practice Address - Fax:417-883-8704
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE005006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor