Jensen, Susan Danette

Jensen, Susan Danette is an sole proprietor health care provider with primary practice located at 4110 S 10Th Ave , Caldwell ID 83605-5706. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Jensen, Susan Danette can be contacted via phone (208) 402-0154.

Contact Information

Primary practice address
4110 S 10Th Ave Caldwell ID 83605-5706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X TT47289 Idaho

Profile Details

NPI number 1114677655
LBN Legal business name Jensen, Susan Danette
Credentials TT47289
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2022
Last updated Mar 27th, 2022 - about 3 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.

Request for update

Popular Providers