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Contact Information

MELISSA M JORGENSON
13071 S 572 RD
MIAMI, OK74354-5215
 Phone: 918-961-0897
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

163WC1500X
Indicates primary specialty

NPI Profile & details for MELISSA M JORGENSON · (Female)

NPI # 1639682958
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2017
Last updated 11/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 0078192
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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