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
Fax: (208) 529-6506
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033263165 NPPES
Virginia Other 11538493 CAQH

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