Dr. Douglas Joseph Jorgensen
Neuromusculoskeletal Medicine (NMM)
29 Bowdoin St
Manchester
, Maine 04351-3554
Dr. Douglas Joseph Jorgensen
Neuromusculoskeletal Medicine (NMM)
29 Bowdoin St
Manchester
, Maine 04351-3554
(207) 622-5452
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Douglas Joseph Jorgensen
- 29 Bowdoin St
- Manchester, ME
- Zip : 04351-3554
- Fax : (207) 622-5452
- Phone : (207) 622-4500
Second Address
- Dr. Douglas Joseph Jorgensen
- 29 Bowdoin St
- Manchester, ME
- Zip : 04351-3554
- Fax : (207) 622-5452
- Phone : (207) 622-4500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | ME 1550 | ME |
National Provider Identifier
| NPI | 1043216922 |
|---|---|
| Provider Name | Dr. Douglas Joseph Jorgensen |
| First Address | Manchester, ME 04351-3554 |
| Second Address | Manchester, ME 04351-3554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 22/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 041150 | ANTHEM BC/BS (01) | ME |
| G80301 | (02) | |
| HM197880 | CIGNA HMO (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.