Jensen, Peter J

Jensen, Peter J is an individual health care provider with primary practice located at 2115 Cloyd Blvd Suite 9, Florence AL 35630-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jensen, Peter J can be contacted via phone (256) 349-5275.

Contact Information

Primary practice address
2115 Cloyd Blvd Suite 9 Florence AL 35630-7512
Phone: (256) 349-5275
Fax: (256) 349-5279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18828 Alabama

Profile Details

NPI number 1831194471
LBN Legal business name Jensen, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 18th, 2012 - about 13 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 1831194471 NPPES
Georgia MEDICAID 003113110A
Georgia MEDICAID 529915120

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