Jensen, Brian Clark
Jensen, Brian Clark is an individual health care provider with primary practice located at 1177 N Eagle Rd , Eagle ID 83616-5017. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jensen, Brian Clark can be contacted via phone (208) 939-3010.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-3878 | Idaho |
Profile Details
| NPI number | 1366617953 |
|---|---|
| LBN Legal business name | Jensen, Brian Clark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2008 |
| Last updated | Apr 24th, 2008 - about 18 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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