Phillips, Karen Sue Jensen

Phillips, Karen Sue Jensen is an individual health care provider with primary practice located at 145 Don Pasqual Rd Nw Suite 116, Los Lunas NM 87031-8841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phillips, Karen Sue Jensen can be contacted via phone (505) 865-4618.

Contact Information

Primary practice address
145 Don Pasqual Rd Nw Suite 116 Los Lunas NM 87031-8841
Phone: (505) 865-4618
Fax: (505) 224-8727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 96-308 New Mexico

Profile Details

NPI number 1720051808
LBN Legal business name Phillips, Karen Sue Jensen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Feb 5th, 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 1720051808 NPPES
New Mexico MEDICAID Q4985

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