Jensen, Brooke A.
Jensen, Brooke A. is an sole proprietor health care provider with primary practice located at 99305 Hickory Dr , Fort Drum NY 13603-3416. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Jensen, Brooke A. can be contacted via phone (315) 681-6960.Contact Information
Primary practice address
99305 Hickory Dr
Fort Drum NY 13603-3416
Phone: (315) 681-6960
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | 1318673 | New York |
Profile Details
| NPI number | 1437410081 |
|---|---|
| LBN Legal business name | Jensen, Brooke A. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2012 |
| Last updated | May 30th, 2012 - about 14 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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