Jensen, Jordan Richard
Jensen, Jordan Richard is an individual health care provider with primary practice located at 1802 E 50Th St Unit 112 , Lubbock TX 79404-4006. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jensen, Jordan Richard can be contacted via phone (806) 747-2735.Contact Information
Primary practice address
1802 E 50Th St Unit 112
Lubbock TX 79404-4006
Phone: (806) 747-2735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 13997 | Texas |
Profile Details
| NPI number | 1437617149 |
|---|---|
| LBN Legal business name | Jensen, Jordan Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2019 |
| Last updated | Jan 15th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437617149 | NPPES |
| Texas | MEDICAID | 1437617149 |
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