| NPI | 1396422192 |
|---|---|
| Doing Business As | SHASTA SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENS OLE JENSEN Chief Executive Officer 530-241-2798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-05 |