Jensen, Joshua E

Jensen, Joshua E is an sole proprietor health care provider with primary practice located at 11155 Dunn Rd Suite 108N, Saint Louis MO 63136-6150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jensen, Joshua E can be contacted via phone (314) 953-8300.

Contact Information

Primary practice address
11155 Dunn Rd Suite 108N Saint Louis MO 63136-6150
Fax: (314) 953-8333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36330 Missouri

Profile Details

NPI number 1952373425
LBN Legal business name Jensen, Joshua E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Oct 7th, 2014 - about 11 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 1952373425 NPPES
Missouri MEDICAID 200148401

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