Jensen, Tara

Jensen, Tara is an sole proprietor health care provider with primary practice located at 7 Pine St , Lake Ronkonkoma NY 11779-4260. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Agencies / Early Intervention Provider Agency. Other Service Providers / Specialist is her primary health care specialty. Jensen, Tara can be contacted via phone (631) 875-3590.

Contact Information

Primary practice address
7 Pine St Lake Ronkonkoma NY 11779-4260
Phone: (631) 875-3590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1992195408
LBN Legal business name Jensen, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2015
Last updated Feb 4th, 2015 - about 9 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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