Doctor Name: | CHARMAINE B JENSEN |
NPI Number: | 1215010889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 1822 |
Business Practice Address: | 2239 Atlantic Hwy Lincolnville, ME - 048495310 |
Business Phone Number: | 2072301007 |
Business Fax Number: | 2072301008 |
Mailing Address: | 2239 Atlantic Hwy, LINCOLNVILLE |
State: | ME |
Postal Code: | 048495310 |
Phone Number: | 2072301007 |
Fax Number: | 2072301008 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 1822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |