Jensen, David Warren

Jensen, David Warren is an individual health care provider with primary practice located at 640 Highway 1 W , Iowa City IA 52246-4218. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jensen, David Warren can be contacted via phone (319) 338-6700.

Contact Information

Primary practice address
640 Highway 1 W Iowa City IA 52246-4218
Phone: (319) 338-6700
Fax: (319) 887-1101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1713 Iowa

Profile Details

NPI number 1164400875
LBN Legal business name Jensen, David Warren
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 31st, 2010 - about 16 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 1164400875 NPPES
Iowa Other 1713 LICENSE NUMBER

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