Jensen, Colin Eric

Jensen, Colin Eric is an individual health care provider with primary practice located at 6918 Windsor Ave , Berwyn IL 60402-3334. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jensen, Colin Eric can be contacted via phone (708) 795-4800.

Contact Information

Primary practice address
6918 Windsor Ave Berwyn IL 60402-3334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1922293950
LBN Legal business name Jensen, Colin Eric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Sep 12th, 2007 - about 18 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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