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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1922001338 | NPPES |
| Nebraska | MEDICAID | 47054533500 |
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