Eldrup-Jorgensen, Jens
Eldrup-Jorgensen, Jens is an individual health care provider with primary practice located at 887 Congress St Suite 400, Portland ME 04102-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Eldrup-Jorgensen, Jens can be contacted via phone (207) 774-6368.Contact Information
Primary practice address
887 Congress St Suite 400
Portland ME 04102-3100
Phone: (207) 774-6368
Fax: (207) 774-9388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD12526 | Maine |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD12526 | Maine |
Profile Details
| NPI number | 1265418016 |
|---|---|
| LBN Legal business name | Eldrup-Jorgensen, Jens |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Oct 14th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265418016 | NPPES |
| New Hampshire | MEDICAID | 300002506 | |
| New Hampshire | Other | 020010747 | |
| New Hampshire | MEDICAID | 297770099 |
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