Jenson Chiropractic LLC
Organization Active NPI Nutrition Chiropractor · Monroe, WI
NPI 1679699862 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1679699862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 4146-012 (WI)
- Legal business name
- JENSON CHIROPRACTIC LLC
- Practice address
- 718 8TH St
Monroe, WI 53566-1068 - Phone
- (608) 293-0478
- Fax
- (608) 325-1489
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kelly Jo Jenson, DC
- Title
- Owner
- Phone
- (608) 293-0478
Practitioners 2
-
Kelly Jo Jenson, D.C.
-
Britt Thomas Hall, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111017000398 | WI | Part B Supplier - Clinic/Group Practice | 8123290160 |
Receives reassigned benefits from 1 practitioner Practice locations: Monroe, WI |
National Provider Directory
Locations
109 Hotel St
Ste 2
Brooklyn, WI 53521
Phone (608) 455-4555
1518 11th St
Ste 1-2
Monroe, WI 53566
Phone (608) 329-3290
1115 18th Ave
Monroe, WI 53566
Phone (608) 329-3290
718 8th St
Monroe, WI 53566
Phone (608) 293-0478
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor |
111NN1001X | 4146-012 | WI | Yes |
Addresses
Primary practice location
718 8TH St
Monroe, WI 53566-1068
Mailing address
718 8TH St
Monroe, WI 53566-1068
Phone (608) 293-0478
Other providers in Monroe, WI
- Christine E Hunsicker
- Richard Huntsman
- Julie Jackson
- Janelle Julienne Jaeggi
- James Jahnke
- Kelly Jo Jenson
- Luke A. Johanson
- Amy L Johnson
- Hayley L Jordan
- Jesse Jorgensen
All providers in Monroe, WI · Nutrition Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.