Jorgensen, Andrew Carl
Jorgensen, Andrew Carl is an individual health care provider with primary practice located at 49 Harry Kemp Way , Provincetown MA 02657-1618. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jorgensen, Andrew Carl can be contacted via phone (508) 487-9395.Contact Information
Primary practice address
49 Harry Kemp Way
Provincetown MA 02657-1618
Phone: (508) 487-9395
Fax: (508) 487-3285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 234187 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 234187 | Massachusetts |
Profile Details
| NPI number | 1134106271 |
|---|---|
| LBN Legal business name | Jorgensen, Andrew Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1134106271 | NPPES |
| Massachusetts | Other | 234187 | MA MEDICAL LICENSE |
| Massachusetts | MEDICAID | 110078100A | MA MEDICAL LICENSE |
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