Organization
SOUTHEASTERN CHIROPRACTIC PC
Active
Other names
Your Family Chiropractor
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS KEITH JENSEN DC (OWNER)
(605) 371-3346
Entity
Organization
Contact information
Practice address
5011 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 371-3346
Mailing address
5011 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 371-3346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
924
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600700
—
SD
Enumeration date
07/30/2012
Last updated
10/04/2012
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