Jensen, Eleanor R

Jensen, Eleanor R is an individual health care provider with primary practice located at 200 Exempla Cir , Lafayette CO 80026-3370. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Jensen, Eleanor R can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
200 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53312 Colorado
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X DR0053312 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1750525911
LBN Legal business name Jensen, Eleanor R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2009
Last updated Apr 22nd, 2022 - about 4 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 1750525911 NPPES
Colorado MEDICAID 14723531
Colorado Other 024277

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