Jensen, Robert Walter
Jensen, Robert Walter is an individual health care provider with primary practice located at 820 Ainsworth Dr Ste A , Prescott AZ 86301-1613. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Otology & Neurotology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Jensen, Robert Walter can be contacted via phone (928) 778-0827.Contact Information
Primary practice address
820 Ainsworth Dr Ste A
Prescott AZ 86301-1613
Phone: (928) 778-0827
Fax: (928) 778-5622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 04-35404 | Kansas |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 04-35404 | Kansas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 04-35404 | Kansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | 28419 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2019042323 | Missouri |
Profile Details
| NPI number | 1083741961 |
|---|---|
| LBN Legal business name | Jensen, Robert Walter |
| Credentials | MD JD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jan 27th, 2022 - about 2 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 | 1083741961 | NPPES |
| Arizona | MEDICAID | 421094 |
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