Jessen, Thomas E
Jessen, Thomas E is an sole proprietor health care provider with primary practice located at 300 N 4Th Ave E Ste 140A, Newton IA 50208-3155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jessen, Thomas E can be contacted via phone (641) 792-2380.Contact Information
Primary practice address
300 N 4Th Ave E Ste 140A
Newton IA 50208-3155
Phone: (641) 792-2380
Fax: (641) 792-6184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17964 | Iowa |
Profile Details
| NPI number | 1205813805 |
|---|---|
| LBN Legal business name | Jessen, Thomas E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Dec 28th, 2009 - about 15 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 | 1205813805 | NPPES |
| Iowa | MEDICAID | 0063651 | |
| Iowa | Other | 06365 |
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