Dr. David S Jensen
Chiropractic Sports Physician
110 Midland Ave Ste 2
Basalt
, Colorado 81621-8305
Dr. David S Jensen
Chiropractic Sports Physician
110 Midland Ave Ste 2
Basalt
, Colorado 81621-8305
(970) 797-4812
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. David S Jensen
- 110 Midland Ave Ste 2
- Basalt, CO
- Zip : 81621-8305
- Fax : (970) 797-4812
- Phone : (970) 279-4099
Second Address
- Dr. David S Jensen
- 110 Midland Ave Ste 2
- Basalt, CO
- Zip : 81621-8305
- Fax : (970) 797-4812
- Phone : (970) 279-4099
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 4085 | CO |
National Provider Identifier
| NPI | 1215083241 |
|---|---|
| Provider Name | Dr. David S Jensen |
| First Address | Basalt, CO 81621-8305 |
| Second Address | Basalt, CO 81621-8305 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2007 |
| Last Update Date | 24/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U78043 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.