Jensen, Craig

Jensen, Craig is an sole proprietor health care provider with primary practice located at 90 Hope Dr Bldg 6000 , Mountain Home Afb ID 83648. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jensen, Craig can be contacted via phone (208) 828-7250.

Contact Information

Primary practice address
90 Hope Dr Bldg 6000 Mountain Home Afb ID 83648
Phone: (208) 828-7250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9552945-9934 Utah

Profile Details

NPI number 1164893202
LBN Legal business name Jensen, Craig
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2015
Last updated Aug 24th, 2018 - about 7 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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