Jensen, Jesse David

Jensen, Jesse David is an individual health care provider with primary practice located at 2376 N 400 E Ste 203, Tooele UT 84074-3413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jensen, Jesse David can be contacted via phone (801) 966-1403.

Contact Information

Primary practice address
2376 N 400 E Ste 203 Tooele UT 84074-3413
Phone: (801) 966-1403
Fax: (801) 964-6478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 8963761-1204 Utah
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 8963761-1204 Utah

Profile Details

NPI number 1619294337
LBN Legal business name Jensen, Jesse David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2010
Last updated Mar 7th, 2016 - about 9 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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