Jensen, Richard A

Jensen, Richard A is an individual health care provider with primary practice located at 2333 W 57Th St Ste 101 , Sioux Falls SD 57108-5054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jensen, Richard A can be contacted via phone (605) 496-7667.

Contact Information

Primary practice address
2333 W 57Th St Ste 101 Sioux Falls SD 57108-5054
Phone: (605) 496-7667
Fax: (605) 496-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 3923 South Dakota

Profile Details

NPI number 1083671408
LBN Legal business name Jensen, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 25th, 2016 - about 8 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 1083671408 NPPES
Iowa MEDICAID 1963462
Iowa Other 14G07JE
Iowa MEDICAID 6630172
Iowa Other 4997594
Iowa MEDICAID 395781100
Iowa Other 09466
Iowa Other 22305
Iowa Other 390005700

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