Jensen, Amy

Jensen, Amy is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as her primary health care specialty. Jensen, Amy can be contacted via phone (605) 355-2229.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X

Profile Details

NPI number 1245979053
LBN Legal business name Jensen, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2022
Last updated May 31st, 2022 - about 2 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 1245979053 NPPES
South Dakota MEDICAID 5549050

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