Jorgensen, Mark Joseph
Jorgensen, Mark Joseph is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Ste 130, Scottsdale AZ 85251-5648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jorgensen, Mark Joseph can be contacted via phone (480) 425-5000.Contact Information
Primary practice address
3501 N Scottsdale Rd Ste 130
Scottsdale AZ 85251-5648
Phone: (480) 425-5000
Fax: (480) 945-6548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25339 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25339 | Arizona |
Profile Details
| NPI number | 1548259526 |
|---|---|
| LBN Legal business name | Jorgensen, Mark Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Sep 17th, 2021 - about 5 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 | 1548259526 | NPPES |
| Arizona | MEDICAID | 389644 |
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