Jorgensen, Carolyn S

Jorgensen, Carolyn S is an individual health care provider with primary practice located at 201 160Th St S Suite 301, Spanaway WA 98387-8508. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jorgensen, Carolyn S can be contacted via phone (253) 531-4100.

Contact Information

Primary practice address
201 160Th St S Suite 301 Spanaway WA 98387-8508
Phone: (253) 531-4100
Fax: (253) 531-3795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00003420 Washington

Profile Details

NPI number 1841274867
LBN Legal business name Jorgensen, Carolyn S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841274867 NPPES
Washington MEDICAID 8334377
Washington Other JO2103
Washington Other 59042

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