Jensen, Jeffery
Jensen, Jeffery is an individual health care provider with primary practice located at 4000 N Oakland Ave , Shorewood WI 53211-2355. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jensen, Jeffery can be contacted via phone (414) 961-7700.Contact Information
Primary practice address
4000 N Oakland Ave
Shorewood WI 53211-2355
Phone: (414) 961-7700
Fax: (414) 961-7703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2946-035 | Wisconsin |
Profile Details
| NPI number | 1821153859 |
|---|---|
| LBN Legal business name | Jensen, Jeffery |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| 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 | 1821153859 | NPPES |
| Wisconsin | MEDICAID | 38621800 |
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