Jorgenson, Brett Richard
Jorgenson, Brett Richard is an individual health care provider with primary practice located at 236 Ponte Vedra Park Drive Suite 300, Ponte Vedra Beach FL 32082. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Jorgenson, Brett Richard can be contacted via phone (904) 280-3440.Contact Information
Primary practice address
236 Ponte Vedra Park Drive Suite 300
Ponte Vedra Beach FL 32082
Phone: (904) 280-3440
Fax: (904) 280-3444
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT018040 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT018040 | Florida |
Profile Details
NPI number | 1871695585 |
---|---|
LBN Legal business name | Jorgenson, Brett Richard |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 2nd, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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