Dr. Keith D Jorgensen
Otolaryngologist (ENT Doctor)
44 Birch St Suite 304
Derry
, New Hampshire 03038-2752
Dr. Keith D Jorgensen
Otolaryngologist (ENT Doctor)
44 Birch St Suite 304
Derry
, New Hampshire 03038-2752
(603) 432-8104
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Keith D Jorgensen
- 44 Birch St Suite 304
- Derry, NH
- Zip : 03038-2752
- Phone : (603) 432-8104
Second Address
- Dr. Keith D Jorgensen
- 44 Birch St Suite 304
- Derry, NH
- Zip : 03038-2752
- Phone : (603) 432-8104
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 7086 | NH |
National Provider Identifier
| NPI | 1023081601 |
|---|---|
| Provider Name | Dr. Keith D Jorgensen |
| First Address | Derry, NH 03038-2752 |
| Second Address | Derry, NH 03038-2752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2006 |
| Last Update Date | 24/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30001523 | (05) | NH |
| B85953 | (02) |
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.