Jensen, Peter R.
Jensen, Peter R. is an individual health care provider with primary practice located at 20 York Street, Cb-2041 , New Haven CT 06510. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jensen, Peter R. can be contacted via phone (203) 688-4748.Contact Information
Primary practice address
20 York Street, Cb-2041
New Haven CT 06510
Phone: (203) 688-4748
Fax: (203) 688-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 049593 | Connecticut |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME79683 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 049593 | Connecticut |
Profile Details
| NPI number | 1861484917 |
|---|---|
| LBN Legal business name | Jensen, Peter R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861484917 | NPPES |
| Florida | Other | 15629 | BCBS |
| Florida | MEDICAID | 264418500 | BCBS |
| Florida | Other | 390008415 | BCBS |
| Florida | Other | 800031974 | BCBS |
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