Individual
RICHARD A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 W 57TH ST STE 101, SIOUX FALLS, SD 57108-5054
(605) 496-7667
(605) 496-7699
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3923
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09466
BCBS
IA
01
—
14G07JE
BCBS
MN
05
—
1963462
—
IA
01
—
22305
BCBS
NE
01
—
390005700
RAILROAD
SD
05
—
395781100
—
MN
01
—
4997594
BCBS
SD
05
—
6630172
—
SD
Enumeration date
04/28/2006
Last updated
07/25/2016
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