Jensen, Susan Rae
Jensen, Susan Rae is an individual health care provider with primary practice located at 1400 E Boulder St Ste 700, Colorado Springs CO 80909-5533. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Jensen, Susan Rae can be contacted via phone (719) 635-7172.Contact Information
Primary practice address
1400 E Boulder St Ste 700
Colorado Springs CO 80909-5533
Phone: (719) 635-7172
Fax: (719) 444-3759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 23755 | Colorado |
Profile Details
| NPI number | 1134115983 |
|---|---|
| LBN Legal business name | Jensen, Susan Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Aug 21st, 2013 - about 13 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 | 1134115983 | NPPES |
| Colorado | MEDICAID | 01237661 |
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