Jensen, Dale Alton

Jensen, Dale Alton is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Jensen, Dale Alton can be contacted via phone (210) 808-2249.

Contact Information

Primary practice address
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504
Phone: (210) 808-2249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3433 Colorado
Other Service Providers / Specialist 174400000X 2305210793 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 1368947 Texas

Profile Details

NPI number 1427023019
LBN Legal business name Jensen, Dale Alton
Credentials DSC PT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Nov 9th, 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 1427023019 NPPES
Texas Other 1368947 LICENSE
Texas Other 2305210793 LICENSE
Texas Other 3433 LICENSE

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