| Christopher Jensen, DC | |
|
13135 W Linebaugh Ave Ste 102, Tampa, FL 33626-4497 | |
| (813) 475-4150 | |
| Not Available |
| Full Name | Christopher Jensen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 13135 W Linebaugh Ave Ste 102, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194456525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 14009 (Florida) | Primary |
| Provider Name | Frontier Physical Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457023731 PECOS PAC ID: 9638568488 Enrollment ID: O20211116002162 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Jensen, DC 7189 Islamorada Cir, Seminole, FL 33777-3826 Ph: (503) 799-9584 | Christopher Jensen, DC 13135 W Linebaugh Ave Ste 102, Tampa, FL 33626-4497 Ph: (813) 475-4150 |
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