Jensen, Michael J

Jensen, Michael J is an individual health care provider with primary practice located at 202 Cross St Se , Auburn WA 98002-5406. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Jensen, Michael J can be contacted via phone (253) 876-8111.

Contact Information

Primary practice address
202 Cross St Se Auburn WA 98002-5406
Phone: (253) 876-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1469 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60055107 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60055107 Washington

Profile Details

NPI number 1457322703
LBN Legal business name Jensen, Michael J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 19th, 2011 - about 13 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 1457322703 NPPES
Oklahoma MEDICAID 200069430A
Oklahoma Other P00363323

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