Jensen, Peter Merrill

Jensen, Peter Merrill is an sole proprietor health care provider with primary practice located at 1208 Hilltop Dr Suite 200, Rock Springs WY 82901-5857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jensen, Peter Merrill can be contacted via phone (307) 382-4114.

Contact Information

Primary practice address
1208 Hilltop Dr Suite 200 Rock Springs WY 82901-5857
Phone: (307) 382-4114
Fax: (307) 382-4131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5692A Wyoming

Profile Details

NPI number 1306826938
LBN Legal business name Jensen, Peter Merrill
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Aug 12th, 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 1306826938 NPPES
Wyoming MEDICAID 110943000

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