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
Phone: (315) 798-8263
Fax: (315) 734-4988
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205826153 | NPPES |
New York | MEDICAID | 01677590 | |
New York | Other | 080176533 |
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