Michael G Jenson in Tulsa - Physician Assistant

Michael G Jenson - NPI 1770684540

Michael G Jenson is a Physician Assistant in Tulsa, Oklahoma. Michael G Jenson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael G Jenson is 1770684540. The last update date is 2008-05-12.

Michael G Jenson's current location address is 4807 E 91st St, Tulsa, Oklahoma. You can contact this provider via phone number 9185027246 and fax number 9185027250. The mailing address for Michael G Jenson is 4807 E 91st St, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael G Jenson
Address 4807 E 91st St, Tulsa, Oklahoma
Phone Number 9185027246
Fax Number 9185027250
Sole Proprietor N
Credentials PAC CPP

NPI Number Detail

NPI Number 1770684540
Provider Enumeration Date 2006-09-26
Last Updated Date 2008-05-12

Provider Mailing Address Detail

Address 4807 E 91st St
City Tulsa
State Oklahoma (OK)
Post Code 741372841
Phone Number 9185027246
Fax Number 9185027250

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 538
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DA8285 OK MEDICARE RAILROAD
200070240A OK --
680535868002 OK BLUE CROSS BLUE SHIELD

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FAQs about Michael G Jenson

What is the Michael G Jenson's 1770684540?

The Michael G Jenson's NPI (National Provider Identifier) Number is 1770684540. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michael G Jenson?

The Michael G Jenson is physically situated at 4807 E 91St St, in the city of Tulsa, state of OK, with the postal code 741372841.

What is the area of specialization for Michael G Jenson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael G Jenson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When was the Michael G Jenson's information last updated?

The Michael G Jenson's information was last updated on 2008-05-12.

When was the information pertaining to Michael G Jenson most recently updated or revised?

The details related to Michael G Jenson, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-12.

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