Jensen, Michael John
Jensen, Michael John is an sole proprietor health care provider with primary practice located at 115 Smelter Ave Ne, Suite 104 , Great Falls MT 59404. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jensen, Michael John can be contacted via phone (406) 727-2826.Contact Information
Primary practice address
115 Smelter Ave Ne, Suite 104
Great Falls MT 59404
Phone: (406) 727-2826
Fax: (406) 727-3522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 776 | Montana |
Profile Details
| NPI number | 1669441184 |
|---|---|
| LBN Legal business name | Jensen, Michael John |
| Credentials | MPT, OCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jun 9th, 2015 - about 9 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 | 1669441184 | NPPES |
| Montana | MEDICAID | 0340812 | |
| Montana | Other | 60963 |
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