Provider Demographics
NPI:1396422192
Name:JENSEN CHIROPRACTIC INC
Entity type:Organization
Organization Name:JENSEN CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENS
Authorized Official - Middle Name:OLE
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-241-2798
Mailing Address - Street 1:1115 EUREKA WAY # B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0816
Mailing Address - Country:US
Mailing Address - Phone:530-241-2798
Mailing Address - Fax:530-241-3066
Practice Address - Street 1:1115 EUREKA WAY # B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0816
Practice Address - Country:US
Practice Address - Phone:530-515-9176
Practice Address - Fax:530-241-2798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty