Jensen, Maria Celina
Jensen, Maria Celina is an sole proprietor health care provider with primary practice located at 1515 E 20Th St Suite A, Farmington NM 87401-9039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jensen, Maria Celina can be contacted via phone (505) 326-6400.Contact Information
Primary practice address
1515 E 20Th St Suite A
Farmington NM 87401-9039
Phone: (505) 326-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD2013-0407 | New Mexico |
Profile Details
| NPI number | 1457594756 |
|---|---|
| LBN Legal business name | Jensen, Maria Celina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Dec 9th, 2014 - about 12 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 | 1457594756 | NPPES |
| Utah | MEDICAID | 1457594756 | |
| Utah | MEDICAID | 833511 | |
| Utah | MEDICAID | 55320538 |
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