Active NPI
Victor R Jolgren, M.D.
- Health Educator
- Muncie, IN
National Provider Identifier
1326347253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 01026267A
- Practice address
- 118 N Alden Rd
Muncie, IN 47304-3901 - Phone
- (765) 289-6720
- NPI assigned
- Mar 17, 2011
- Last updated
- Mar 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 01026267A | IN | Primary |
Addresses
Primary practice location
118 N Alden Rd
Muncie, IN 47304-3901
Mailing address
118 N Alden Rd
Muncie, IN 47304-3901
Phone (765) 289-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026267A | IN | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1326347253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N ALDEN RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043901",
"telephone_number": "765-289-6720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N ALDEN RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473043901",
"telephone_number": "765-289-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLGREN",
"first_name": "VICTOR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "IN",
"license": "01026267A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.