Individual
DR. DOUGLAS JOSEPH JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29 BOWDOIN ST, MANCHESTER, ME 04351-3554
(207) 622-4500
(207) 622-5452
Mailing address
29 BOWDOIN ST, MANCHESTER, ME 04351-3554
(207) 622-4500
(207) 622-5452
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
ME 1550
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041150
ANTHEM BC/BS
ME
01
—
HM197880
CIGNA HMO
—
Enumeration date
06/24/2005
Last updated
01/22/2013
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