Jensen, Debora J
Jensen, Debora J is an individual health care provider with primary practice located at 965 Goethals , Richland WA 99352-7623. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jensen, Debora J can be contacted via phone (509) 946-6144.Contact Information
Primary practice address
965 Goethals
Richland WA 99352-7623
Phone: (509) 946-6144
Fax: (509) 943-9521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002034 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00010693 | Washington |
Profile Details
| NPI number | 1457444259 |
|---|---|
| LBN Legal business name | Jensen, Debora J |
| Credentials | BSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 30th, 2011 - about 13 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 | 1457444259 | NPPES |
| Washington | MEDICAID | 8426710 | |
| Washington | Other | 0197166 | |
| Washington | Other | 0197166 |
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