Travis S Jensen Dpm Pc

LBN: Travis S Jensen Dpm Pc
Travis S Jensen Dpm Pc is an health care organization with primary practice located at 12361 W Bola Dr , Surprise AZ 85378-9021. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Travis S Jensen Dpm Pc can be contacted via phone (623) 584-5626, or through Jensen, Travis S via phone (623) 583-2073.

Contact Information

Primary practice address
12361 W Bola Dr Surprise AZ 85378-9021
Phone: (623) 584-5626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Travis S Doctor of Podiatric Medicine (DPM)
Phone: (623) 583-2073

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1528496411
LBN Legal business name Travis S Jensen Dpm Pc
DBA Doing business as
Authorized official Jensen, Travis S Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2013
Last updated Oct 31st, 2013 - about 11 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 1528496411 NPPES
Arizona MEDICAID 251822

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