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Contact Information

LISA M JENSON, ATC
12555 UNIVERSITY AVE NW
BLAINE, MN55434
 Phone: 763-506-6729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for LISA M JENSON · (Female)

NPI # 1104040047
Status Active
Credentials ATC
Entity Individual
Enumeration date 04/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1453
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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