Jensen, Bruce W.

Jensen, Bruce W. is an individual health care provider with primary practice located at 8001 Madison Ave , Citrus Heights CA 95610-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jensen, Bruce W. can be contacted via phone (916) 536-2400.

Contact Information

Primary practice address
8001 Madison Ave Citrus Heights CA 95610-7901
Phone: (916) 536-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C36236 California

Profile Details

NPI number 1235230517
LBN Legal business name Jensen, Bruce W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235230517 NPPES
California MEDICAID 00C362360
California Other 00C362360
California Other 13820
California Other 3170839
California Other 000810342990
California Other 1089814
California Other 9525
California Other MCMG127400
California Other 4066262
California Other C36236
California Other 1454451
California Other 90014858

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