Individual
TODD ALAN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Mailing address
7537 N HIGHWAY 83, NORTH PLATTE, NE 69101-8023
(308) 660-5425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24561
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025588700
—
NE
01
—
34754
BLUE CROSS
NE
01
—
P00660377
RAILROAD MEDICARE
NE
Enumeration date
08/24/2007
Last updated
09/12/2012
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