Jorgensen, Thomas

Jorgensen, Thomas is an individual health care provider with primary practice located at 11175 San Pablo Ave , El Cerrito CA 94530-2157. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Jorgensen, Thomas can be contacted via phone (510) 559-5550.

Contact Information

Primary practice address
11175 San Pablo Ave El Cerrito CA 94530-2157
Phone: (510) 559-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1225773823
LBN Legal business name Jorgensen, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Sep 4th, 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.

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