Dr. Edwin A. Jensen, D.O., P.A.
LBN: Dr. Edwin A. Jensen, D.O., P.A.
Dr. Edwin A. Jensen, D.O., P.A. is an health care organization with primary practice located at 602 S Broadway , Camden NJ 08103-1222. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Dr. Edwin A. Jensen, D.O., P.A. can be contacted via phone (856) 963-2187, or through Jensen, Edwin Arnt via phone (856) 963-2187.
Contact Information
Primary practice address
602 S Broadway
Camden NJ 08103-1222
Phone: (856) 963-2187
Fax: (856) 225-1913
Website:
Authorized official contact:
Name: Jensen, Edwin Arnt Doctor of Osteopathy (DO)
Phone: (856) 963-2187
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MB02501900 | New Jersey |
Profile Details
| NPI number | 1972514214 |
|---|---|
| LBN Legal business name | Dr. Edwin A. Jensen, D.O., P.A. |
| DBA Doing business as | |
| Authorized official | Jensen, Edwin Arnt Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Oct 10th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972514214 | NPPES |
| New Jersey | MEDICAID | 2787008 | |
| New Jersey | Other | 0106612001 | |
| New Jersey | Other | 32866 | |
| New Jersey | Other | 01000075601 |
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