Jensen, Robert A
Jensen, Robert A is an individual health care provider with primary practice located at 6001 Telegraph Ave , Oakland CA 94609-1310. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Jensen, Robert A can be contacted via phone (510) 658-2062.Contact Information
Primary practice address
6001 Telegraph Ave
Oakland CA 94609-1310
Phone: (510) 658-2062
Fax: (510) 658-7779
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CPO 955 | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CPO 955 |
Profile Details
NPI number | 1063690238 |
---|---|
LBN Legal business name | Jensen, Robert A |
Credentials | CPO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2008 |
Last updated | Feb 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063690238 | NPPES |
Other | CPO 955 | ABC |
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