Individual
DR. BRETT JORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1201 13TH AVE E, WEST FARGO, ND 58078-3378
(701) 282-6110
(701) 282-6113
Mailing address
1201 13TH AVE E, WEST FARGO, ND 58078-3378
(701) 282-6110
(701) 282-6113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
613
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022317
BLUE SHIELD PIN
ND
05
—
18691
—
ND
01
—
382S2JO
BLUE SHIELD PIN
MN
Enumeration date
01/08/2007
Last updated
07/08/2007
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