Jensen, David Joseph

Jensen, David Joseph is an individual health care provider with primary practice located at 625 Pole Line Rd W Ste 1A , Twin Falls ID 83301-4269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Jensen, David Joseph can be contacted via phone (208) 814-5250.

Contact Information

Primary practice address
625 Pole Line Rd W Ste 1A Twin Falls ID 83301-4269
Phone: (208) 814-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X O-0415 Idaho

Profile Details

NPI number 1407808983
LBN Legal business name Jensen, David Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 18th, 2019 - about 5 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 1407808983 NPPES
Idaho MEDICAID 807557800
Idaho Other P00744682

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