Jensen, Richard Andrew

Jensen, Richard Andrew is an sole proprietor health care provider with primary practice located at 14277 Road 28 , Madera CA 93638-5715. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jensen, Richard Andrew can be contacted via phone (559) 673-3508.

Contact Information

Primary practice address
14277 Road 28 Madera CA 93638-5715
Phone: (559) 673-3508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 101YA0400X

Profile Details

NPI number 1386940229
LBN Legal business name Jensen, Richard Andrew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2011
Last updated Feb 9th, 2011 - about 15 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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