Jorgensen, Jerry Robin
Jorgensen, Jerry Robin is an sole proprietor health care provider with primary practice located at 110 S Sherman Ave , North Platte NE 69101-4913. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jorgensen, Jerry Robin can be contacted via phone (308) 534-1870.Contact Information
Primary practice address
110 S Sherman Ave
North Platte NE 69101-4913
Phone: (308) 534-1870
Fax: (308) 534-1871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 639 | Nebraska |
Profile Details
| NPI number | 1598839680 |
|---|---|
| LBN Legal business name | Jorgensen, Jerry Robin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jun 9th, 2008 - 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 | 1598839680 | NPPES |
| Nebraska | MEDICAID | 47061036401 | |
| Nebraska | Other | 350027451 | |
| Nebraska | Other | 09511 |
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