Jensen, Andrew Lee

Jensen, Andrew Lee is an individual health care provider with primary practice located at 1910 S Virginia St Suite 200, Hopkinsville KY 42240-3692. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jensen, Andrew Lee can be contacted via phone (270) 889-9200.

Contact Information

Primary practice address
1910 S Virginia St Suite 200 Hopkinsville KY 42240-3692
Phone: (270) 889-9200
Fax: (270) 889-9911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X KY-0011 Kentucky

Profile Details

NPI number 1588611651
LBN Legal business name Jensen, Andrew Lee
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1588611651 NPPES
Louisiana Other 1204643 CHA PROVIDER NUMBER
Louisiana Other 4035794 CHA PROVIDER NUMBER
Louisiana Other 7628349 CHA PROVIDER NUMBER

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