Jensen, Thomas W

Jensen, Thomas W is an individual health care provider with primary practice located at 2002 E 5Th St , Sterling IL 61081-3016. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Jensen, Thomas W can be contacted via phone (815) 626-0270.

Contact Information

Primary practice address
2002 E 5Th St Sterling IL 61081-3016
Phone: (815) 626-0270
Fax: (815) 626-0205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 038-005659 Illinois

Profile Details

NPI number 1487728424
LBN Legal business name Jensen, Thomas W
Credentials D.C, D.A.B.C.I.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Dec 21st, 2012 - about 14 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 1487728424 NPPES
Illinois MEDICAID 038005659

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