Jensen, Richard Frederick
Jensen, Richard Frederick is an sole proprietor health care provider with primary practice located at 7922 Olympic View Dr Nw , Gig Harbor WA 98335-6275. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jensen, Richard Frederick can be contacted via phone (253) 358-6640.Contact Information
Primary practice address
7922 Olympic View Dr Nw
Gig Harbor WA 98335-6275
Phone: (253) 358-6640
Fax: (253) 851-3188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY00000987 | Washington |
Profile Details
| NPI number | 1245336999 |
|---|---|
| LBN Legal business name | Jensen, Richard Frederick |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245336999 | NPPES |
| Other | G001001904 | MEDICARE PTAN | |
| MEDICAID | 7017544 | MEDICARE PTAN |
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