Individual
DR. JERED ANTHONY JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 S SHERMAN AVE, NORTH PLATTE, NE 69101-4913
(308) 534-1870
(308) 534-1871
Mailing address
110 S SHERMAN AVE, NORTH PLATTE, NE 69101-4913
(308) 534-1870
(308) 534-1871
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1552
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025712600
—
NE
01
—
27233
BCBS
NE
01
—
P00678769
RR MEDICARE
NE
Enumeration date
01/15/2009
Last updated
05/04/2022
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