Jensen, Richard Allan

Jensen, Richard Allan is an individual health care provider with primary practice located at 101 W 8Th Ave Suite 4300, Spokane WA 99204-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Jensen, Richard Allan can be contacted via phone (509) 747-6707.

Contact Information

Primary practice address
101 W 8Th Ave Suite 4300 Spokane WA 99204-2307
Phone: (509) 747-6707
Fax: (509) 624-9186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X M-9469 Idaho
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD00042494 Washington

Profile Details

NPI number 1699728022
LBN Legal business name Jensen, Richard Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jun 2nd, 2021 - about 5 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 1699728022 NPPES
Montana MEDICAID 0149736
Montana MEDICAID 806634500
Montana MEDICAID 2277230
Montana MEDICAID 8357667

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