Jensen, Mary Jo Haugen

Jensen, Mary Jo Haugen is an individual health care provider with primary practice located at 3915 Golden Valley Rd Courage Center, Golden Valley MN 55422-4298. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jensen, Mary Jo Haugen can be contacted via phone (763) 520-0455.

Contact Information

Primary practice address
3915 Golden Valley Rd Courage Center Golden Valley MN 55422-4298
Phone: (763) 520-0455
Fax: (763) 520-0355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4196 Minnesota

Profile Details

NPI number 1699733287
LBN Legal business name Jensen, Mary Jo Haugen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699733287 NPPES
Minnesota Other 9V741HA BCBS
Minnesota Other HP43096 BCBS
Minnesota Other 6403144 BCBS

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