Jensen, Raymond J
Jensen, Raymond J is an individual health care provider with primary practice located at 49 Ireland Place , Amityville NY 11701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jensen, Raymond J can be contacted via phone (631) 264-0924.Contact Information
Primary practice address
49 Ireland Place
Amityville NY 11701
Phone: (631) 264-0924
Fax: (631) 264-3503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 132857 | New York |
Profile Details
| NPI number | 1174613129 |
|---|---|
| LBN Legal business name | Jensen, Raymond J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1174613129 | NPPES |
| New York | MEDICAID | 00447296 |
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