Jensen, Mark H

Jensen, Mark H is an individual health care provider with primary practice located at 1248 E 90 N Ste 103 , American Fork UT 84003-2954. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Jensen, Mark H can be contacted via phone (801) 852-9560.

Contact Information

Primary practice address
1248 E 90 N Ste 103 American Fork UT 84003-2954
Phone: (801) 852-9560
Fax: (801) 852-9559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 47680 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 47680 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X 7903019-1205 Utah
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 7903019-1205 Utah

Profile Details

NPI number 1184602351
LBN Legal business name Jensen, Mark H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jun 19th, 2019 - about 6 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 1184602351 NPPES
Wisconsin MEDICAID 34841700
Wisconsin MEDICAID ENROLLED
Wisconsin MEDICAID 425475900
Wisconsin Other P00746335

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