Jensen, Jacob

Jensen, Jacob is an individual health care provider with primary practice located at 754 N College Rd Ste D , Twin Falls ID 83301-5822. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jensen, Jacob can be contacted via phone (208) 734-5313.

Contact Information

Primary practice address
754 N College Rd Ste D Twin Falls ID 83301-5822
Phone: (208) 734-5313
Fax: (208) 736-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1902341712
LBN Legal business name Jensen, Jacob
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2017
Last updated Feb 6th, 2024 - about last year

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 1902341712 NPPES
Idaho Other PT-5849 PT LICENSE
Idaho MEDICAID 1902341712 PT LICENSE
Idaho Other 10626586-2401 PT LICENSE

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