Jenson, Hal Brockbank
Jenson, Hal Brockbank is an individual health care provider with primary practice located at 759 Chestnut St Baystate Medical Center, Division Of Academic Affairs, Springfield MA 01199-1001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Jenson, Hal Brockbank can be contacted via phone (413) 794-5588.Contact Information
Primary practice address
759 Chestnut St Baystate Medical Center, Division Of Academic Affairs
Springfield MA 01199-1001
Phone: (413) 794-5588
Fax: (413) 794-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 226506 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 226506 | Massachusetts |
Profile Details
| NPI number | 1871695510 |
|---|---|
| LBN Legal business name | Jenson, Hal Brockbank |
| Credentials | MD, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871695510 | NPPES |
| Texas | MEDICAID | P08277181 |
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