Jensen, Eric R

Jensen, Eric R is an individual health care provider with primary practice located at 2100 Clinch Ave Ste 510 , Knoxville TN 37916-2225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Jensen, Eric R can be contacted via phone (865) 541-2131.

Contact Information

Primary practice address
2100 Clinch Ave Ste 510 Knoxville TN 37916-2225
Phone: (865) 541-2131
Fax: (877) 821-0891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD41046 Tennessee

Profile Details

NPI number 1407883986
LBN Legal business name Jensen, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 8th, 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 1407883986 NPPES
Tennessee MEDICAID 3062658

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