Jorgensen, Michael B
Jorgensen, Michael B is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, 2Nd Floor, Redwood City CA 94063-3132. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jorgensen, Michael B can be contacted via phone (818) 621-6612.Contact Information
Primary practice address
450 Broadway St Pavilion A, 2Nd Floor
Redwood City CA 94063-3132
Phone: (818) 621-6612
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 01693T | Iowa |
Profile Details
NPI number | 1457302101 |
---|---|
LBN Legal business name | Jorgensen, Michael B |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | May 26th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457302101 | NPPES |
Other | IA01B9 | JOHN DEERE HEALTH |
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