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NPI Code Detail

MEDICARE: DR. JENNIFER SANSEN, P.S.

MEDICARE: DR. JENNIFER SANSEN, P.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor3048WA

General Provider Information

NPI Number : 1629247846
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. JENNIFER SANSEN, P.S.
Provider Business Mailing Address
First Line : 200 BETHEL AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5216
Country : US
Telephone Number : 360-876-4171
Fax Number : 360-876-3495
Provider Business Practice Location Address
First Line : 200 BETHEL AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5216
Country : US
Telephone Number : 360-876-4171
Fax Number : 360-876-3495
Authorized Official
Title or Position : OWNER
Name : DR. JENNIFER HELENE SANSEN
Credential : DC
Telephone Number : 360-876-4171
Provider Enumeration Date : 02/21/2008
Last Update Date : 04/06/2011

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