Individual
DR. RIC E JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4242 FARNAM ST, SUITE 363, OMAHA, NE 68131-2806
(402) 552-2929
(402) 552-2986
Mailing address
4242 FARNAM ST, SUITE 363, OMAHA, NE 68131-2806
(402) 552-2929
(402) 552-2986
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20821
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0508408
—
IA
Enumeration date
04/28/2006
Last updated
07/16/2007
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