Jensen, Chris Robert

Jensen, Chris Robert is an individual health care provider with primary practice located at 301 E Hillcrest Ave , Indianola IA 50125-9027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jensen, Chris Robert can be contacted via phone (515) 961-3700.

Contact Information

Primary practice address
301 E Hillcrest Ave Indianola IA 50125-9027
Fax: (515) 962-0160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01052736A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-37321 Iowa

Profile Details

NPI number 1942298088
LBN Legal business name Jensen, Chris Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Mar 11th, 2015 - about 11 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 1942298088 NPPES
Iowa MEDICAID 1942298088
Iowa Other P00624147

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