Jensen, Michael John

Jensen, Michael John is an sole proprietor health care provider with primary practice located at 115 Smelter Ave Ne, Suite 104 , Great Falls MT 59404. 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, Michael John can be contacted via phone (406) 727-2826.

Contact Information

Primary practice address
115 Smelter Ave Ne, Suite 104 Great Falls MT 59404
Phone: (406) 727-2826
Fax: (406) 727-3522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 776 Montana

Profile Details

NPI number 1669441184
LBN Legal business name Jensen, Michael John
Credentials MPT, OCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jun 9th, 2015 - about 11 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 1669441184 NPPES
Montana MEDICAID 0340812
Montana Other 60963

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