Jensen, Douglas P
Jensen, Douglas P is an individual health care provider with primary practice located at 5859 W Talavi Blvd Suite 100, Glendale AZ 85306-1869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jensen, Douglas P can be contacted via phone (602) 298-7777.Contact Information
Primary practice address
5859 W Talavi Blvd Suite 100
Glendale AZ 85306-1869
Phone: (602) 298-7777
Fax: (623) 930-6060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 11306 | Arizona |
Profile Details
| NPI number | 1073509402 |
|---|---|
| LBN Legal business name | Jensen, Douglas P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Aug 26th, 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 | 1073509402 | NPPES |
| Arizona | MEDICAID | 211681 |
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