Provider Demographics
NPI:1952333759
Name:JENSEN HEALTH & ENERGY CENTER, S.C.
Entity Type:Organization
Organization Name:JENSEN HEALTH & ENERGY CENTER, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FINSES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-782-1616
Mailing Address - Street 1:500 ELM GROVE RD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:ELM GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:53122-2546
Mailing Address - Country:US
Mailing Address - Phone:262-782-1616
Mailing Address - Fax:262-782-7815
Practice Address - Street 1:500 ELM GROVE RD
Practice Address - Street 2:SUITE 325
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2546
Practice Address - Country:US
Practice Address - Phone:262-782-1616
Practice Address - Fax:262-782-7815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3881-012111N00000X
WI4319-012111N00000X
WI60-055171100000X
WI625-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI000075081Medicare ID - Type Unspecified