Jensen, Alan

Jensen, Alan is an individual health care provider with primary practice located at 590 E 17Th St , Idaho Falls ID 83404-6154. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jensen, Alan can be contacted via phone (208) 523-1090.

Contact Information

Primary practice address
590 E 17Th St Idaho Falls ID 83404-6154
Phone: (208) 523-1090
Fax: (208) 528-8681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P4239 Idaho

Profile Details

NPI number 1467749044
LBN Legal business name Jensen, Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Jul 5th, 2011 - about 13 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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