Individual
DR. ANDREW JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
921 S ORCHARD ST, SUITE C, BOISE, ID 83705-1930
(208) 426-9100
(208) 426-9104
Mailing address
921 S ORCHARD ST, SUITE C, BOISE, ID 83705-1930
(208) 426-9100
(208) 426-9104
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-950
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIA-950
IDAHO LICENSE
ID
Enumeration date
08/02/2006
Last updated
07/09/2007
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