Jensen, Miriam A

Jensen, Miriam A is an individual health care provider with primary practice located at 3250 Hospital Drive , Juneau AK 99801-9501. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Jensen, Miriam A can be contacted via phone (907) 796-8654.

Contact Information

Primary practice address
3250 Hospital Drive Juneau AK 99801-9501
Phone: (907) 796-8654
Fax: (907) 586-5605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1841329356
LBN Legal business name Jensen, Miriam A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Feb 5th, 2015 - about 10 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 1841329356 NPPES
Alaska MEDICAID 1841329356

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