Jensen, Jon Norman

Jensen, Jon Norman is an individual health care provider with primary practice located at 7840 Vinewood Lane , Maple Grove MN 55369-4655. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Jensen, Jon Norman can be contacted via phone (763) 236-0287.

Contact Information

Primary practice address
7840 Vinewood Lane Maple Grove MN 55369-4655
Phone: (763) 236-0287
Fax: (763) 420-5531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY12343 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X LP5024 Minnesota

Profile Details

NPI number 1336118603
LBN Legal business name Jensen, Jon Norman
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 17th, 2011 - about 14 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 1336118603 NPPES
Minnesota Other 1336118603 NPI

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