Jensen, Allan David

Jensen, Allan David is an sole proprietor health care provider with primary practice located at 200 East 33Rd St Suite 426, Baltimore MD 21218-3381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jensen, Allan David can be contacted via phone (410) 235-1133.

Contact Information

Primary practice address
200 East 33Rd St Suite 426 Baltimore MD 21218-3381
Phone: (410) 235-1133
Fax: (410) 235-1267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D8901 Maryland

Profile Details

NPI number 1326023326
LBN Legal business name Jensen, Allan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Jul 6th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326023326 NPPES
Maryland MEDICAID 006271500

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