Jenson, Hal Brockbank

Jenson, Hal Brockbank is an individual health care provider with primary practice located at 759 Chestnut St Baystate Medical Center, Division Of Academic Affairs, Springfield MA 01199-1001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Jenson, Hal Brockbank can be contacted via phone (413) 794-5588.

Contact Information

Primary practice address
759 Chestnut St Baystate Medical Center, Division Of Academic Affairs Springfield MA 01199-1001
Phone: (413) 794-5588
Fax: (413) 794-0300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 226506 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 226506 Massachusetts

Profile Details

NPI number 1871695510
LBN Legal business name Jenson, Hal Brockbank
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871695510 NPPES
Texas MEDICAID P08277181

Popular Providers