Jorde, David O

Jorde, David O is an individual health care provider with primary practice located at 1502 London Rd 102, Duluth MN 55812-1788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jorde, David O can be contacted via phone (218) 576-0100.

Contact Information

Primary practice address
1502 London Rd 102 Duluth MN 55812-1788
Phone: (218) 576-0100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41646 Minnesota

Profile Details

NPI number 1396710174
LBN Legal business name Jorde, David O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396710174 NPPES
Minnesota MEDICAID 963027900

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