Jenson, Ronald C

Jenson, Ronald C is an individual health care provider with primary practice located at 4794 Red Oak Ln , Bloomington IN 47401-9100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jenson, Ronald C can be contacted via phone (812) 396-9620.

Contact Information

Primary practice address
4794 Red Oak Ln Bloomington IN 47401-9100
Phone: (812) 396-9620
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02000605 Indiana

Profile Details

NPI number 1043297278
LBN Legal business name Jenson, Ronald C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 26th, 2013 - about 11 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 1043297278 NPPES
Indiana MEDICAID 100259020

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