Jensen, Heather Jo
Jensen, Heather Jo is an individual health care provider with primary practice located at Usu Hearing Clinic 1000 Old Main Hill, Logan UT 84322-1000. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jensen, Heather Jo can be contacted via phone (435) 797-1390.Contact Information
Primary practice address
Usu Hearing Clinic 1000 Old Main Hill
Logan UT 84322-1000
Phone: (435) 797-1390
Fax: (435) 797-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 308851-4101 | Utah |
Profile Details
| NPI number | 1053518563 |
|---|---|
| LBN Legal business name | Jensen, Heather Jo |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1053518563 | NPPES |
| Utah | MEDICAID | 876000528062 |
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