Jensen, Paul Scott
Jensen, Paul Scott is an sole proprietor health care provider with primary practice located at 112 Pelly Ave N , Renton WA 98057-5713. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jensen, Paul Scott can be contacted via phone (425) 255-2020.Contact Information
Primary practice address
112 Pelly Ave N
Renton WA 98057-5713
Phone: (425) 255-2020
Fax: (425) 255-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1722TX | Washington |
Profile Details
| NPI number | 1891792370 |
|---|---|
| LBN Legal business name | Jensen, Paul Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jul 16th, 2008 - about 18 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 | 1891792370 | NPPES |
| Washington | MEDICAID | 2061467 |
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