Jensen, Terry Michael

Jensen, Terry Michael is an sole proprietor health care provider with primary practice located at 322 M St , Neligh NE 68756-1421. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jensen, Terry Michael can be contacted via phone (402) 887-5214.

Contact Information

Primary practice address
322 M St Neligh NE 68756-1421
Phone: (402) 887-5214
Fax: (402) 887-4904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Nebraska

Profile Details

NPI number 1366540940
LBN Legal business name Jensen, Terry Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1366540940 NPPES
Nebraska Other 04674 BLUE CROSS/BLUE SHIELD
Nebraska MEDICAID 470581743-00 BLUE CROSS/BLUE SHIELD

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