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Individual
DR. JOHN MARTIN JENSEN JR.
Active
Individual
DR. JOHN MARTIN JENSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004334L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000100197
HIGHMARK BS
—
05
—
0006437080004
—
PA
01
—
001531598
HIGHMARK BLUE SHIELD
—
01
—
01073601
CAPITAL BLUE CROSS
PA
01
—
02300000
CAPITAL BLUE CROSS
—
Enumeration date
03/29/2006
Last updated
07/03/2017
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