Thomas E Jessen Md Pc

LBN: Thomas E Jessen Md Pc
Thomas E Jessen Md Pc is an health care organization with primary practice located at 300 N 4Th Ave E Ste 140A , Newton IA 50208-3122. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Thomas E Jessen Md Pc can be contacted via phone (641) 792-2380, or through Jessen, Thomas Edgar via phone (641) 792-2380.

Contact Information

Primary practice address
300 N 4Th Ave E Ste 140A Newton IA 50208-3122
Fax: (641) 792-6184
Website:
Authorized official contact:
Name: Jessen, Thomas Edgar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17964 Iowa

Profile Details

NPI number 1740443712
LBN Legal business name Thomas E Jessen Md Pc
DBA Doing business as
Authorized official Jessen, Thomas Edgar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2008
Last updated Jul 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740443712 NPPES
Iowa MEDICAID 0063651

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