Jensen, Philip D
Jensen, Philip D is an individual health care provider with primary practice located at 425 W Bannock St , Boise ID 83702-6035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jensen, Philip D can be contacted via phone (208) 343-6458.Contact Information
Primary practice address
425 W Bannock St
Boise ID 83702-6035
Phone: (208) 343-6458
Fax: (208) 343-5031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M-8875 | Idaho |
Profile Details
| NPI number | 1134114713 |
|---|---|
| LBN Legal business name | Jensen, Philip D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134114713 | NPPES |
| Idaho | Other | P00256600 | RAILROAD MEDICARE |
Popular Providers
-
Mallory, Mark A
6259 W Emerald St , Boise ID 83704-8731 -
Chen, Victor Kai-Ping
6259 W Emerald St , Boise ID 83704-8731 -
Hunter, Ellen B
425 W Bannock St , Boise ID 83702-6035 -
Goulet, Christopher J
6259 W Emerald St , Boise ID 83704-8731 -
Schutz, Stephen M
6259 W Emerald St , Boise ID 83704-8731 -
Hammerle, Christopher W
425 W Bannock St , Boise ID 83702-6035 -
Cordum, Nic R
6259 W Emerald St , Boise ID 83704-8731 -
Cook, Joseph A
6259 W Emerald St , Boise ID 83704-8731