Jorgensen, Jesse Paul

Jorgensen, Jesse Paul is an individual health care provider with primary practice located at 1005 Grove Rd , Greenville SC 29605-4630. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jorgensen, Jesse Paul can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
1005 Grove Rd Greenville SC 29605-4630
Phone: (864) 455-6900
Fax: (864) 255-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 054754 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 30861 South Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 30861 South Carolina

Profile Details

NPI number 1154401206
LBN Legal business name Jorgensen, Jesse Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated May 17th, 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 1154401206 NPPES
South Carolina MEDICAID 308615

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