Candice Jensen Md Pllc

LBN: Candice Jensen Md Pllc
Candice Jensen Md Pllc is an health care organization with primary practice located at 2503 S Ave A Suite 3, Yuma AZ 85364-7173. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Candice Jensen Md Pllc can be contacted via phone (928) 344-3250, or through Jensen, Candice Michelle via phone (928) 344-3250.

Contact Information

Primary practice address
2503 S Ave A Suite 3 Yuma AZ 85364-7173
Phone: (928) 344-3250
Fax: (928) 344-3253
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Candice Michelle Doctor of Medicine (MD)
Phone: (928) 344-3250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38206 Arizona

Profile Details

NPI number 1578729901
LBN Legal business name Candice Jensen Md Pllc
DBA Doing business as
Authorized official Jensen, Candice Michelle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2008
Last updated Feb 21st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578729901 NPPES
Arizona Other Z148161 MEDICARE PTAN

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