Jensen, Keith N

Jensen, Keith N is an individual health care provider with primary practice located at 1600 Highway 287 N Suite 102, Mansfield TX 76063-8853. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jensen, Keith N can be contacted via phone (817) 477-2907.

Contact Information

Primary practice address
1600 Highway 287 N Suite 102 Mansfield TX 76063-8853
Fax: (817) 473-3507
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC7012TX Texas

Profile Details

NPI number 1841349958
LBN Legal business name Jensen, Keith N
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841349958 NPPES
Texas Other 8G8690 BLUE CROSS BLUE SHIELD TX

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