Jorgensen, Gerald Thomas
Jorgensen, Gerald Thomas is an sole proprietor health care provider with primary practice located at 1229 Mount Loretta Ave , Dubuque IA 52003-7826. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Jorgensen, Gerald Thomas can be contacted via phone (563) 556-2580.Contact Information
Primary practice address
1229 Mount Loretta Ave
Dubuque IA 52003-7826
Phone: (563) 556-2580
Fax: (563) 556-5464
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 00028 | Iowa |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 00028 | Iowa |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 00028 | Iowa |
Profile Details
NPI number | 1659431153 |
---|---|
LBN Legal business name | Jorgensen, Gerald Thomas |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 2006 |
Last updated | Jul 8th, 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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