Jensen, Zackary I

Jensen, Zackary I is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Jensen, Zackary I can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax: (717) 531-4645
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD453603 Pennsylvania

Profile Details

NPI number 1255627543
LBN Legal business name Jensen, Zackary I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2011
Last updated Apr 23rd, 2020 - about 5 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 1255627543 NPPES
Pennsylvania MEDICAID 1030030720001

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