Quistgaard, .Jorgen
Quistgaard, .Jorgen is an sole proprietor health care provider with primary practice located at 715 S Alder St , Port Angeles WA 98362-6615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Quistgaard, .Jorgen can be contacted via phone (360) 452-8324.Contact Information
Primary practice address
715 S Alder St
Port Angeles WA 98362-6615
Phone: (360) 452-8324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 8390 | Washington |
Profile Details
| NPI number | 1760517536 |
|---|---|
| LBN Legal business name | Quistgaard, .Jorgen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760517536 | NPPES |
| Washington | Other | 8390 | LICENSE |
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