Jorgensen, Jeffrey Brian

Jorgensen, Jeffrey Brian is an individual health care provider with primary practice located at 200 Patewood Dr Ste B400 , Greenville SC 29615-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jorgensen, Jeffrey Brian can be contacted via phone (864) 454-4368.

Contact Information

Primary practice address
200 Patewood Dr Ste B400 Greenville SC 29615-6306
Phone: (864) 454-4368
Fax: (864) 241-9232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2008002421 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X TP865 Kentucky
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 86203 South Carolina

Profile Details

NPI number 1912061599
LBN Legal business name Jorgensen, Jeffrey Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 16th, 2021 - about 3 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 1912061599 NPPES
South Carolina MEDICAID PENDING
South Carolina Other TP865

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