Jensen, Candice Michelle

Jensen, Candice Michelle is an individual health care provider with primary practice located at 2503 S Ave A Ste 3, Yuma AZ 85364-7173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Jensen, Candice Michelle can be contacted via phone (928) 344-3250.

Contact Information

Primary practice address
2503 S Ave A Ste 3 Yuma AZ 85364-7173
Phone: (928) 344-3250
Fax: (928) 344-3253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A100498 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 38206 Arizona

Profile Details

NPI number 1346453990
LBN Legal business name Jensen, Candice Michelle
Credentials M.D., PLLC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Feb 20th, 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 1346453990 NPPES
California MEDICAID 0A1004980
California MEDICAID 340763
California Other Z148161

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