Jensen, Else Marie
Jensen, Else Marie is an individual health care provider with primary practice located at 1510 4Th St Suite 1, Berkeley CA 94710-1717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jensen, Else Marie can be contacted via phone (510) 525-8980.Contact Information
Primary practice address
1510 4Th St Suite 1
Berkeley CA 94710-1717
Phone: (510) 525-8980
Fax: (510) 525-8982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G68533 | California |
Profile Details
| NPI number | 1790754885 |
|---|---|
| LBN Legal business name | Jensen, Else Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 9th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790754885 | NPPES |
| California | MEDICAID | 00G685330 |
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