Jensen, Mark S.
Jensen, Mark S. is an sole proprietor health care provider with primary practice located at 8901 W 74Th St Suite 245, Shawnee Mission KS 66204-2238. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jensen, Mark S. can be contacted via phone (913) 384-2242.Contact Information
Primary practice address
8901 W 74Th St Suite 245
Shawnee Mission KS 66204-2238
Phone: (913) 384-2242
Fax: (913) 384-4685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6523 | Kansas |
Profile Details
| NPI number | 1912142894 |
|---|---|
| LBN Legal business name | Jensen, Mark S. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2008 |
| Last updated | Dec 8th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912142894 | NPPES |
| Kansas | Other | 383189 | BCBS OF KANSAS |
| Kansas | Other | 17844026 | BCBS OF KANSAS |
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