Jorgenson, Madison Lee

Jorgenson, Madison Lee is an individual health care provider with primary practice located at 2625 N 19Th St , Bismarck ND 58503-0574. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jorgenson, Madison Lee can be contacted via phone (701) 222-3175.

Contact Information

Primary practice address
2625 N 19Th St Bismarck ND 58503-0574
Phone: (701) 222-3175
Fax: (701) 222-3186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2444 North Dakota

Profile Details

NPI number 1043995574
LBN Legal business name Jorgenson, Madison Lee
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2023
Last updated Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043995574 NPPES
North Dakota MEDICAID 1489449

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