Jorgensen, Mary Catherine
Jorgensen, Mary Catherine is an individual health care provider with primary practice located at 4900 S Minnesota Ave Suite 105, Sioux Falls SD 57108-2865. She recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Ophthalmic Assistant, Eye and Vision Services Providers / Technician/Technologist, Eye and Vision Services Providers / Optometric Assistant, Eye and Vision Services Providers / Optician, Eye and Vision Services Providers / Optometric Technician. Eye and Vision Services Providers / Optician is her primary health care specialty. Jorgensen, Mary Catherine can be contacted via phone (605) 759-2389.Contact Information
Primary practice address
4900 S Minnesota Ave Suite 105
Sioux Falls SD 57108-2865
Phone: (605) 759-2389
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | ||
| Eye and Vision Services Providers / Ophthalmic Assistant | 156FX1101X | ||
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | ||
| Eye and Vision Services Providers / Optometric Assistant | 156FX1201X | ||
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Eye and Vision Services Providers / Optometric Technician | 156FX1202X |
Profile Details
| NPI number | 1447590187 |
|---|---|
| LBN Legal business name | Jorgensen, Mary Catherine |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2013 |
| Last updated | Nov 11th, 2013 - about 13 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 | 1447590187 | NPPES |
| Other | 1026-7978-ST | SD DEPT. OF REVENUE |
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