Jensen, Corey Clark

Jensen, Corey Clark is an individual health care provider with primary practice located at 3475 Plymouth Blvd Suite #100, Plymouth MN 55447-1499. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jensen, Corey Clark can be contacted via phone (763) 537-1238.

Contact Information

Primary practice address
3475 Plymouth Blvd Suite #100 Plymouth MN 55447-1499
Phone: (763) 537-1238
Fax: (763) 537-4627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9970 Minnesota

Profile Details

NPI number 1538236823
LBN Legal business name Jensen, Corey Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - 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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