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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB WILLIAM JORGENSEN, M.D.

Active Sole Proprietor

DR. JACOB WILLIAM JORGENSEN, M.D. is a Clinical Pathology/Laboratory Medicine healthcare provider located in FOLSOM, California. NPI 1548896491 is currently active in the NPPES registry. Verify at CMS.

Clinical Pathology/Laboratory Medicine · FOLSOM, CA

Registration Details

NPI Number
1548896491
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2020 (6.4300141810341 yrs)
Last Updated
Feb 3, 2023
Licenses
135292 (NY)
135292 (NY)
Sole Proprietor
Yes

Practice Information

Address
154 BLACK POWDER CIR
FOLSOM, CA, 956303415
Browse CA providers · Browse ZIP 95630
Phone
9168041155
Primary Specialty
Clinical Pathology/Laboratory Medicine
207ZP0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.