Jensen, Paul Russell

Jensen, Paul Russell is an individual health care provider with primary practice located at 1433 N 1075 W Ste 104 , Farmington UT 84025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jensen, Paul Russell can be contacted via phone (801) 298-1300.

Contact Information

Primary practice address
1433 N 1075 W Ste 104 Farmington UT 84025
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1816521205 Utah

Profile Details

NPI number 1528049335
LBN Legal business name Jensen, Paul Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Feb 19th, 2019 - about 5 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 1528049335 NPPES
Utah Other P00651537 RAILROAD MEDICARE
Utah MEDICAID 100505791 RAILROAD MEDICARE
Utah MEDICAID 807115600 RAILROAD MEDICARE
Utah MEDICAID 09899 RAILROAD MEDICARE
Utah MEDICAID 120827600 RAILROAD MEDICARE
Utah MEDICAID 924432 RAILROAD MEDICARE
Utah Other P00205744 RAILROAD MEDICARE

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