Individual
DR. JOHN MARTIN JENSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1786C COLUMBIA AVE, COLUMBIA, PA 17512-9508
(717) 684-3663
(717) 684-9030
Mailing address
409 SOUTH SECOND STREET, SUITE 2F, HARRISBURG, PA 17104-1612
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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