Jensen, Robert William

Jensen, Robert William is an individual health care provider with primary practice located at 11315 Bridgeport Way Sw , Lakewood WA 98499-3004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jensen, Robert William can be contacted via phone (253) 588-1711.

Contact Information

Primary practice address
11315 Bridgeport Way Sw Lakewood WA 98499-3004
Phone: (253) 588-1711
Fax: (253) 581-6588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00043539 Washington

Profile Details

NPI number 1164469698
LBN Legal business name Jensen, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated May 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164469698 NPPES
Washington Other 0186983 LIWA
Washington Other 0186984 LIWA
Washington Other 2164JE LIWA
Washington Other 2166JE LIWA
Washington MEDICAID 8402695 LIWA

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