Jensen, Natisha Nicole

Jensen, Natisha Nicole is an individual health care provider with primary practice located at 510 Superior Ave Ste 200G , Newport Beach CA 92663-3664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Jensen, Natisha Nicole can be contacted via phone (949) 791-6767.

Contact Information

Primary practice address
510 Superior Ave Ste 200G Newport Beach CA 92663-3664
Phone: (949) 791-6767
Fax: (949) 791-6768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34527 Iowa

Profile Details

NPI number 1821072828
LBN Legal business name Jensen, Natisha Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 21st, 2020 - about 4 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 1821072828 NPPES
Iowa Other IA0104 JOHN DEERE
Iowa Other 16957 JOHN DEERE
Iowa Other 246930 JOHN DEERE
Iowa MEDICAID 5266486 JOHN DEERE

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