Individual
DR. MARK JOSEPH JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
401 N. WEST STREET, SUITE 113, RALEIGH, NC 27603
(919) 828-5669
(919) 828-5676
Mailing address
401 N. WEST STREET, SUITE 113, RALEIGH, NC 27603
(919) 828-5669
(919) 828-5676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2427
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890834T
—
NC
Enumeration date
08/31/2006
Last updated
07/08/2007
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