Jensen, Claigh H
Jensen, Claigh H is an individual health care provider with primary practice located at 1600 John Adams Pkwy Suite 102, Idaho Falls ID 83401-4300. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jensen, Claigh H can be contacted via phone (208) 529-5276.Contact Information
Primary practice address
1600 John Adams Pkwy Suite 102
Idaho Falls ID 83401-4300
Phone: (208) 529-5276
Fax: (208) 529-6506
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-29273 | Idaho |
Profile Details
| NPI number | 1033263165 |
|---|---|
| LBN Legal business name | Jensen, Claigh H |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Sep 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033263165 | NPPES |
| Virginia | Other | 11538493 | CAQH |
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