Jensen, Derick

Jensen, Derick is an individual health care provider with primary practice located at 68 S 600 E , Slc UT 84102-1007. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jensen, Derick can be contacted via phone (801) 322-1001.

Contact Information

Primary practice address
68 S 600 E Slc UT 84102-1007
Phone: (801) 322-1001
Fax: (801) 359-3864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1659794402
LBN Legal business name Jensen, Derick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2014
Last updated Jan 30th, 2014 - about 10 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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