Provider Demographics
NPI:1760648240
Name:TSOI, JENNIFER WING-CHEE (MD)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:WING-CHEE
Last Name:TSOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:TSOI
Other - Last Name:KEIHNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-415-4770
Mailing Address - Fax:303-415-4769
Practice Address - Street 1:1100 BALSAM AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3404
Practice Address - Country:US
Practice Address - Phone:303-440-2250
Practice Address - Fax:303-440-2291
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111387208100000X
CODR.0056146208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation