Jensen, Abby Lucile
Jensen, Abby Lucile is an sole proprietor health care provider with primary practice located at 3715 Woodking Dr , Idaho Falls ID 83404-4720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Jensen, Abby Lucile can be contacted via phone (208) 529-2255.Contact Information
Primary practice address
3715 Woodking Dr
Idaho Falls ID 83404-4720
Phone: (208) 529-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | PTA-5319 | Idaho |
Profile Details
| NPI number | 1093203119 |
|---|---|
| LBN Legal business name | Jensen, Abby Lucile |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2018 |
| Last updated | Apr 24th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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