Jensen, Keith C

Jensen, Keith C is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631-5114. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jensen, Keith C can be contacted via phone (970) 350-2438.

Contact Information

Primary practice address
1900 16Th St Greeley CO 80631-5114
Phone: (970) 350-2438
Fax: (970) 350-2473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-3319 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3319 Colorado

Profile Details

NPI number 1750666483
LBN Legal business name Jensen, Keith C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2011
Last updated Aug 13th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750666483 NPPES
Colorado MEDICAID 49471554

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