Jensen, Jan Vennell

Jensen, Jan Vennell is an individual health care provider with primary practice located at 411 W. 39Th St. , Kearney NE 68845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jensen, Jan Vennell can be contacted via phone (308) 865-2760.

Contact Information

Primary practice address
411 W. 39Th St. Kearney NE 68845
Phone: (308) 865-2760
Fax: (308) 865-2769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12529 Nebraska

Profile Details

NPI number 1922001338
LBN Legal business name Jensen, Jan Vennell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 28th, 2018 - about 7 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 1922001338 NPPES
Nebraska MEDICAID 47054533500

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