Jensen, Warren C
Jensen, Warren C is an individual health care provider with primary practice located at Mccannel Hall, Room 100 2891 2Nd Avenue N., Stop 9038, Grand Forks ND 58202-9038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as his primary health care specialty. Jensen, Warren C can be contacted via phone (701) 777-4500.Contact Information
Primary practice address
Mccannel Hall, Room 100 2891 2Nd Avenue N., Stop 9038
Grand Forks ND 58202-9038
Phone: (701) 777-4500
Fax: (701) 777-4835
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 4878 | North Dakota |
Profile Details
NPI number | 1770686628 |
---|---|
LBN Legal business name | Jensen, Warren C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 6th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1770686628 | NPPES |
North Dakota | MEDICAID | 14292 |
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