Jensen, Michael Lawrence
Jensen, Michael Lawrence is an individual health care provider with primary practice located at 380 Sierra College Dr Ste 200, Grass Valley CA 95945-5081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Jensen, Michael Lawrence can be contacted via phone (530) 477-0893.Contact Information
Primary practice address
380 Sierra College Dr Ste 200
Grass Valley CA 95945-5081
Phone: (530) 477-0893
Fax: (530) 477-1450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 20A7018 | California |
Profile Details
| NPI number | 1972603512 |
|---|---|
| LBN Legal business name | Jensen, Michael Lawrence |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972603512 | NPPES |
| California | Other | 20A7018 | BLUE CROSS |
| California | Other | 20A7018 | BLUE CROSS |
| California | Other | P00036911 | BLUE CROSS |
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