Doctor Name: | DR. ROSS ALLAN JENSEN |
NPI Number: | 1568690972 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2009014144 |
Business Practice Address: | 3525 E Calumet St Suite 600 Appleton, WI - 549154167 |
Business Phone Number: | 9207337888 |
Business Fax Number: | 9207337881 |
Mailing Address: | 3525 E Calumet St, Suite 600 APPLETON |
State: | WI |
Postal Code: | 549154167 |
Phone Number: | 9207337888 |
Fax Number: | 9207337881 |
NPI Enumeration Date: | 06/24/2009 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2009014144 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |