MR. WILLIAM JOHN JENSEN NPI 1083145577

NPI Information

NPI: 1083145577
Provider Name: MR. WILLIAM JOHN JENSEN
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3820 LONDON RD APT 204
DULUTH, MN
ZIP 55804
Phone: (920) 843-3312
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MR. William John Jensen is a student in an organized health care education training program in Duluth, MN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. William John Jensen NPI is 1083145577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3820 LONDON RD APT 204
DULUTH, MN
ZIP 55804-235
Phone: (920) 843-3312

The enumeration date for this NPI number is 3/25/2017 and was last updated on 3/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer			No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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