Jensen, Jerri
Jensen, Jerri is an individual health care provider with primary practice located at 57 Water Street , Blue Hill ME 04614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jensen, Jerri can be contacted via phone (207) 374-3473.Contact Information
Primary practice address
57 Water Street
Blue Hill ME 04614
Phone: (207) 374-3473
Fax: (207) 374-3989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD13248 | Maine |
Profile Details
| NPI number | 1902919335 |
|---|---|
| LBN Legal business name | Jensen, Jerri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Oct 8th, 2012 - about 12 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 | 1902919335 | NPPES |
| Maine | Other | P00050169 | RAILROAD MEDICARE |
| Maine | Other | AA84099 | RAILROAD MEDICARE |
| Maine | Other | 3342110 | RAILROAD MEDICARE |
| Maine | Other | 4254797 | RAILROAD MEDICARE |
| Maine | Other | 046539 | RAILROAD MEDICARE |
| Maine | MEDICAID | 123990099 | RAILROAD MEDICARE |
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