Jensen, Jerri

Jensen, Jerri is an individual health care provider with primary practice located at 69 Grove St , New Canaan CT 06840-5325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jensen, Jerri can be contacted via phone (844) 359-8363.

Contact Information

Primary practice address
69 Grove St New Canaan CT 06840-5325
Phone: (844) 359-8363
Fax: (833) 929-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD13248 Maine

Profile Details

NPI number 1902919335
LBN Legal business name Jensen, Jerri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 29th, 2024 - about 2 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 1902919335 NPPES
Maine Other 4254797 AETNA
Maine Other 3342110 AETNA
Maine MEDICAID 123990099 AETNA
Maine Other AA84099 AETNA
Maine Other P00050169 AETNA
Maine Other 046539 AETNA

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