Jensen, Ricky C

Jensen, Ricky C is an individual health care provider with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jensen, Ricky C can be contacted via phone (605) 328-8200.

Contact Information

Primary practice address
1310 W 22Nd St Sioux Falls SD 57105-1501
Phone: (605) 328-8200
Fax: (605) 328-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 10034 Montana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5933 South Dakota

Profile Details

NPI number 1780685651
LBN Legal business name Jensen, Ricky C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 9th, 2008 - about 16 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 1780685651 NPPES
Montana MEDICAID 0044540

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