Jorgensen, Benjamin
Jorgensen, Benjamin is an individual health care provider with primary practice located at 123 Medical Center Dr , Brunswick ME 04011-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jorgensen, Benjamin can be contacted via phone (207) 373-6000.Contact Information
Primary practice address
123 Medical Center Dr
Brunswick ME 04011-2652
Phone: (207) 373-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D91702 | Maryland |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD26999 | Maine |
Profile Details
| NPI number | 1932630290 |
|---|---|
| LBN Legal business name | Jorgensen, Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2017 |
| Last updated | Jun 22nd, 2023 - 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 | 1932630290 | NPPES |
| Maine | Other | MD26999 | LICENSE |
| Maine | Other | D91702 | LICENSE |
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