Jorgensen, Tim
Jorgensen, Tim is an sole proprietor health care provider with primary practice located at 1002 Front Street , Casselton ND 58012. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jorgensen, Tim can be contacted via phone (701) 347-4300.Contact Information
Primary practice address
1002 Front Street
Casselton ND 58012
Phone: (701) 347-4300
Fax: (701) 347-4300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 531 | North Dakota |
Profile Details
| NPI number | 1578638334 |
|---|---|
| LBN Legal business name | Jorgensen, Tim |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1578638334 | NPPES |
| North Dakota | Other | 021753 | BS PROVIDER NUMBER |
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