Jorgensen, Jacob William

Jorgensen, Jacob William is an sole proprietor health care provider with primary practice located at 154 Black Powder Cir , Folsom CA 95630-3415. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Jorgensen, Jacob William can be contacted via phone (916) 804-1155.

Contact Information

Primary practice address
154 Black Powder Cir Folsom CA 95630-3415
Phone: (916) 804-1155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 135292 New York
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 135292 New York

Profile Details

NPI number 1548896491
LBN Legal business name Jorgensen, Jacob William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2020
Last updated Feb 3rd, 2023 - about 2 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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