Jorgensen, William

Jorgensen, William is an individual health care provider with primary practice located at 2209 Genesee St Hospitalist Program, Utica NY 13501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Jorgensen, William can be contacted via phone (315) 798-8263.

Contact Information

Primary practice address
2209 Genesee St Hospitalist Program Utica NY 13501-5930
Fax: (315) 734-4988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 199505 New York

Profile Details

NPI number 1205826153
LBN Legal business name Jorgensen, William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 19th, 2014 - about 10 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 1205826153 NPPES
New York MEDICAID 01677590
New York Other 080176533

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