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
Fax: (701) 777-4835
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770686628 NPPES
North Dakota MEDICAID 14292

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