Organization
JENSEN CHIROPRACTIC, LLC
Active
Other names
Jensen Chiropractic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS ALLAN JENSEN D.C. (MANAGER)
(920) 733-7888
Entity
Organization
Contact information
Practice address
3525 E CALUMET ST, SUITE 600, APPLETON, WI 54915-4167
(920) 733-7888
(920) 733-7881
Mailing address
3525 E CALUMET ST, SUITE 600, APPLETON, WI 54915-4167
(920) 733-7888
(920) 733-7881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4508-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568690972
—
WI
Enumeration date
08/19/2009
Last updated
06/05/2015
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