Jensen, Brian Thomas

Jensen, Brian Thomas is an sole proprietor health care provider with primary practice located at 1400 E Church St , Santa Maria CA 93454-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jensen, Brian Thomas can be contacted via phone (805) 739-3200.

Contact Information

Primary practice address
1400 E Church St Santa Maria CA 93454-5906
Phone: (805) 739-3200
Fax: (805) 739-3064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A82009 California

Profile Details

NPI number 1750318002
LBN Legal business name Jensen, Brian Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Jun 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750318002 NPPES
California MEDICAID 00A820090

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